以划分鼻中隔偏曲单元为基础的个体化鼻中隔矫正手术  

The clinic research of septoplasty according to different types of nasal septal deviation

作　　者：何婷 邓刚[1] 黄喜 江远明 师洪[2] HE Ting;DENG Gang;HUANG Xi;JIANG Yuanming;SHI Hong(Department of Otolaryngology Head and Neck Surgery,First Hospital of Wuhan,Wuhan,430001,China;Department of Otolaryngology Head and Neck Surgery,the Union Hospital,Tongji Medical College,Huazhong University of Science and Technology)

机构地区：[1]武汉市第一医院耳鼻咽喉科,武汉430001 [2]华中科技大学同济医学院附属协和医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2020年第8期706-709,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:将鼻内镜下观察到的鼻中隔偏曲部位划分为不同的偏曲单元,根据偏曲单元进行分型,并针对不同的偏曲类型采用个体化的鼻中隔矫正手术。方法:选取120例行鼻中隔矫正术的患者,在排除手术禁忌后,所有患者术前均按研究者制定的鼻中隔偏曲单元进行分型,并根据不同鼻中隔偏曲类型进行个体化鼻中隔矫正术。结果:针对不同鼻中隔偏曲类型,实施个体化鼻中隔矫正术后,所有患者术后鼻塞症状均较术前得到不同程度改善。结论:采用以偏曲单元为基础的鼻中隔偏曲分型法,并以此进行分型来实施个体化鼻中隔矫正手术,效果良好,对临床有重要的实践指导意义,值得推广。Objective:To divide the deviation parts of nasal septal into different deviation units,and then classify them according to the the deviation units through nasal endoscope,and carry out individual septoplasty for the deviation types.Method:One hundred and twenty patients having operation indication with different types of nasal septal deviation according to the standard designed by the researchers were included.All included patients underwent individual septoplasty.Result:All included patients,symptoms of nasal obstruction had different degree of improvements after the individual surgery according to the different types of nasal septal deviation.Conclusion:Using the classification of nasal septal deviation based on the deviation units,physicians can implement individual septoplasty for patients,which has great guidance to clinical practice.The study has got great results in practice,and deserved extending.

关 键 词：鼻中隔偏曲 鼻中隔矫正 外科手术 

分 类 号：R765.3[医药卫生—耳鼻咽喉科]