鼻内镜自体鼻中隔软骨在鼻骨骨折外形重建的优势探讨  

Discussion on the advantages of endoscopic autologous septal cartilage in the reconstruction of nasal bone fracture

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作  者:叶锦华 钟凯邦 吴伟霞[1] 郑涛 Ye Jinhua;Zhong Kaiban;Wu Weixia;Zhen Tao(Otolaryngology Head and Neck surgery,Dongguan TungWah Hospital,Dongguan Guangdong,523300,China)

机构地区:[1]东莞东华医院,广东东莞523300

出  处:《中国医学文摘(耳鼻咽喉科学)》2024年第1期7-9,3,共4页Chinese Medical Digest(Otorhinolaryngology)

摘  要:目的探讨鼻内镜自体鼻中隔软骨在鼻骨骨折复位外形重建中的应用优势。方法收集我院耳鼻喉科2018年3月至2022年4月接诊62例鼻骨骨折外观明显畸形患者临床资料,进行回顾性分析研究。其中,30例传统鼻骨骨折闭合性复位患者作为对照组,32例鼻内镜自体鼻中隔软骨填充及鼻骨骨折复位患者作为观察组。对比观察两组患者的外观满意度、鼻通气功能、生活质量。结果两组患者术前外观满意度、鼻通气功能、生活质量比较,差异无统计学意义,P>0.05;术后随访,观察组患者外观满意度评分高于对照组,各项鼻通气功能优于对照组,生活质量评分低于对照组,差异有统计学意义,P<0.05。结论鼻内镜下自体鼻中隔软骨用于鼻骨骨折外形重建中,可有效改善患者鼻外观,提升鼻通气功能,提高患者生活质量,有推广价值。Objective To explore the application advantages of endoscopic autologous septal cartilage in the reduction and shape reconstruction of nasal bone fractures.Methods The clinical data of 62 patients with obvious deformity of nasal bone fractures admitted by the Department of Otolaryngology in our hospital from March 2018to April 2022 were collected,and a retrospective analysis was conducted.Among them,30 patients with traditional closed reduction of nasal bone fractures were selected as the control group,and 32 patients with endoscopic autologous septal cartilage filling and nasal bone fracture reduction were selected as the observation group.The appearance satisfaction,nasal ventilation function and quality of life of the two groups were compared and observed.Results There was no significant difference in preoperative appearance satisfaction,nasal ventilation function and quality of life between the two groups,P>0.05;During postoperative follow-up,the appearance satisfaction score of the observation group was higher than that of the control group,the nasal ventilation function was better than that of the control group,and the quality of life score was lower than that of the control group,the differences were statistically significant,P<0.05.Conclusion The autologous septal cartilage under nasal endoscope can be used in the reconstruction of nasal bone fracture,which can effectively improve the appearance of the nose,improve the nasal ventilation function,and improve the quality of life of the patients,which has promotion value.

关 键 词:鼻内镜 鼻中隔软骨 自体软骨 鼻骨骨折 外形重建 

分 类 号:R68[医药卫生—骨科学]

 

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