内镜辅助下功能性鼻整形术治疗歪鼻合并鼻中隔偏曲226例临床分析  

Clinical analysis of 226 cases of deviated nose with deviated nasal septum treated by endoscopic assisted functional rhinoplasty

作　　者：陈敏[1] 李娜[1] 车飞 闫舒[1] 温君凤[2] 王效军[1] 袁玥 李亚茹 Chen Min;Li Na;Che Fei;Yan Shu;Wen Junfeng;Wang Xiaojun;Yuan Yue;Li Yaru(Department of Otorhinolaryngology Head and Neck Surgery,Qingdao 266100,China;Operating Room,the Affiliated Hospital of Qingdao University,Qingdao 266100,China)

机构地区：[1]青岛大学附属医院耳鼻咽喉头颈外科,青岛266100 [2]青岛大学附属医院手术室,青岛266100

出　　处：《中华耳鼻咽喉头颈外科杂志》2023年第4期326-332,共7页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：目的探讨内镜辅助下功能性鼻整形术治疗歪鼻合并鼻中隔偏曲患者,达到鼻外形和通气功能障碍同期矫正的方法与效果。方法回顾性分析2009年6月至2022年2月在青岛大学附属医院采用内镜辅助下功能性鼻整形术治疗歪鼻合并鼻中隔偏曲的226例患者的临床资料,其中男性174例,女性52例,年龄7~67岁。通过主客观联合评估的方法评价手术治疗效果。采用SPSS 27.0软件进行统计学分析。结果随访6~24个月,174例患者治愈(174/226,76.99%),52例有效(52/226,23.01%),总有效率为100%(226/226)。术前术后偏离值差异有统计学意义[(6.84±2.25)mm比(1.82±1.05)mm,t=38.94,P<0.001],所有患者的鼻腔通气功能均得到改善。结论采用内镜辅助下功能性鼻整形术治疗歪鼻合并鼻中隔偏曲患者,具有术野清晰、并发症少、疗效确切的优点,可达到鼻外形与通气功能障碍同期矫正的目的,值得临床推广与应用。Objective To explore the method and effect of endoscopic assisted functional rhinoplasty for patients with deviated nose and deviated nasal septum,which achieve correction of nasal morphology and ventilation dysfunction.Methods The clinical data of 226 patients with deviated nose and deviated nasal septum from June 2009 to February 2022 who were treated by endoscopic assisted functional rhinoplasty in the Affiliated Hospital of Qingdao University were analyzed retrospectively.There were 174 males and 52 females,with the age ranging from 7 to 67 years old.The effect was evaluated by subjective and objective evaluation methods.SPSS 27.0 software was used for statistical analysis.Results All patients were followed up for 6 to 24 months,174 cases were cured(174/226,76.99%),52 cases were effective(52/226,23.01%),and the total effective rate was 100%(226/226).The difference between preoperative and postoperative facial appearance deviation was statistically significant((6.84±2.25)mm vs(1.82±1.05)mm,t=38.94,P<0.001),and the nasal ventilation function of all patients was improved.Conclusions Endoscopic assisted functional rhinoplasty for the patients with deviated nose combined with deviated nasal septum has the advantages of clear surgical field,fewer complications,and good result.It can achieve the purpose of simultaneous correction of nasal and ventilation dysfunction,which is recommended for popularizing in clinical application.

关 键 词：外科 整形 歪鼻 鼻中隔偏曲 内镜 鼻通气功能 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]