两种鼻骨复位器在鼻骨复位术中的应用研究  

Clinical study on application of two nasal bone reduction devices in nasal bone reduction

作　　者：葛瑜庭 许晨婕 王珮华[1] 吴晴伟[1] 孙艺渊[1] 姜闻博[2] GE Yuting;XU Chenjie;WANG Peihua;WU Qingwei;SUN Yiyuan;JIANG Wenbo(Department of Otolaryngology Head&Neck Surgery,Shanghai 9th People’s Hospital,School of Medicine,Shanghai Jiaotong University,Ear Institute Shanghai Jiaotong University School of Medicine,Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases.Shanghai 200011,China;Clinical Translational Research and Development Center of 3D Printing Technology,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科,上海交通大学医学院耳科学研究所,上海市耳鼻疾病转化医学重点实验室,上海200011 [2]上海交通大学医学院附属第九人民医院3D打印技术临床转化研发中心,上海200011

出　　处：《中国耳鼻咽喉颅底外科杂志》2021年第2期131-137,共7页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：促进市级医院临床技能与临床创新能力三年行动计划(16CR3051A)。

摘　　要：目的探究3D打印鼻骨复位器在鼻骨复位术中的安全性和有效性。方法收集2017年11月—2020年6月在上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科接受手术治疗的鼻骨骨折患者85例。随机分为两组,对照组(41例)术中使用传统鼻骨复位器,实验组(44例)术中使用3D打印鼻骨复位器;最终对照组和实验组纳入分析各39例。应用视觉模拟评分法评估患者术前和术后的主观评分,根据术后CT评估术后疗效。结果对照组术前外形评分(6±3)分,术前鼻塞评分(3±3)分;实验组术前外形评分(6±4)分,术前鼻塞评分(3±4)分。对照组术后外形评分(2±2)分,术后鼻塞评分(1±1)分;实验组术后外形评分(1±2)分,术后鼻塞评分(1±0)分。对照组术后疗效显示"极好"23例,"好"13例,"一般"3例;实验组术后疗效显示"极好"32例,"好"6例,"一般"1例。结论在鼻骨复位术中使用3D打印鼻骨复位器和传统鼻骨复位器都能显著改善患者的鼻外形和通气功能,使用3D打印鼻骨复位器更容易做到鼻骨骨折的精准解剖复位。Objective To investigate the safety and efficacy of 3 D printing nasal bone reduction device in closed reduction.Methods Eighty-five cases of nasal bone fracture were consecutively enrolled in our department from Nov 2017 to June 2020. Of them, 41 treated with traditional nasal bone reduction device were assigned to the control group and 44 patients treated with 3 D printing nasal bone device to the experimental group. Clinical data of 39 patients in the control group and 39 in the experimental group were eventually analyzed. Visual analogue score(VAS) was used to evaluate the patient satisfaction. The surgical effect was classified as ‘excellent’, ‘good’ and ‘fair’ according to postoperative CT scans.Results The preoperative appearance score and nasal congestion score were 6±3 and 3±3 in the control group, 6±4 and 3±4 in the experimental group. The postoperative appearance score and nasal congestion score were 2±2 and 1±1 in the control group, 1±2 and 1±0 in the experimental group. As for the surgical effect, 23 cases were shown as ‘excellent’, 13 as ‘good’, and 3 as ‘fair’ in the control group, and the case numbers of ‘excellent’, ‘good’ and ‘fair’ were 32, 6 and 1 in the experimental group.Conclusions Either 3 D printing nasal bone reduction device or traditional nasal bone reduction device can greatly improve patients’ nasal appearance and ventilation in closed reduction. It is easier to achieve accurate anatomical reduction of nasal bone fracture by using 3 D printing nasal bone reduction device.

关 键 词：鼻骨 闭合骨折复位 3D打印 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]