高频超声在儿童鼻骨骨折闭合复位术的应用研究  

High frequency ultrasound in closed reduction of nasal fracture in children

作　　者：杨娜 柳荫 郭宝 纪尧峰 成晨 张琛 董丽娜 YANG Na;LIU Yin;GUO Bao;JI Yaofeng;CHENG Chen;ZHANG Chen;DONG Lina(Department of Otorhinolaryngology&Head and Neck Surgery,Xuzhou Children's Hospital affiliated to Xuzhou Medical University,Xuzhou 221000,Jiangsu,China;Department of Ophthalmology,Xuzhou Children's Hospital affiliated to Xuzhou Medical University,Xuzhou 221000,Jiangsu,China;Department of Ultrasound,Xuzhou Children's Hospital affiliated to Xuzhou Medical University,Xuzhou 221000,Jiangsu,China;Department of Image,Xuzhou Children's Hospital affiliated to Xuzhou Medical University,Xuzhou 221000,Jiangsu,China)

机构地区：[1]徐州医科大学附属徐州儿童医院耳鼻咽喉头颈外科,江苏徐州221000 [2]徐州医科大学附属徐州儿童医院眼科,江苏徐州221000 [3]徐州医科大学附属徐州儿童医院超声医学科,江苏徐州221000 [4]徐州医科大学附属徐州儿童医院影像科,江苏徐州221000

出　　处：《山东大学耳鼻喉眼学报》2025年第1期41-45,76,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：徐州市儿童医院2022年度科研立项项目(22040446)。

摘　　要：目的探讨高频超声在儿童鼻骨骨折闭合复位术中的应用价值。方法回顾分析72例儿童鼻骨骨折患儿,所有患儿术前均行鼻骨CT扫描,随机分为实验组和对照组,实验组在高频超声引导下行鼻骨骨折复位手术,对照组采取传统的复位器盲复位,观察患儿手术时间、住院时间、术后鼻腔通气、鼻部疼痛及鼻外观情况。结果实验组36例患儿均在全麻下高频超声引导下行鼻骨骨折闭合复位手术,术中对位准确,填塞物固定稳妥,手术及住院时间短,术后随访3个月,患儿鼻腔通气、鼻部疼痛、鼻外观均优于对照组。所有患儿均未出现严重并发症。结论在高频超声引导下行儿童鼻骨骨折复位术,可以全程监测骨折碎片及复位器、填塞物的位置情况,复位准确,手术及住院时间均较短,减少反复行CT检查放射线对儿童生长发育的影响,可以作为治疗儿童鼻骨骨折的手术方案之一。Objective To evaluate the application value of high-frequency ultrasound in closed reduction of nasal bone fracture in children.Methods This study included 72 children with nasal bone fractures.CT scan imaging of the nasal bone was performed in children before surgery.Children were randomly divided into experimental and control groups.Children from the experimental group were treated with high frequency ultrasound-guided reduction of nasal bone fracture,whereas those from the control group were treated with the traditional reduction method.The operation and hospitalization times together with postoperative nasal ventilation,nasal pain,and nasal appearance were analyzed.Results The 36 children from the experimental group were treated with closed reduction of nasal bone fracture by high frequency ultrasound;during the operation,the alignment was accurate and the filling was stable.Moreover,surgical and hospitalization times were shorter than for those in the control group.After a 3-month follow-up,nasal ventilation,nasal pain,and nasal appearance evaluation scores were better in children from the experimental group than in those from the control group.None of the children suffered from severe postoperative complications.Conclusion High frequency ultrasound in closed reduction of children nasal fracture monitors the position of fracture fragments,reduction instruments,and packs,leading to accurate reductions and shorter surgical and hospitalization times and reducing the impact of repeated CT radiation on children growth and development.Therefore,it is a suitable surgical option for the treatment of a child's nasal fracture.

关 键 词：高频超声 儿童 鼻骨骨折 闭合复位 全程监测 

分 类 号：R765.8[医药卫生—耳鼻咽喉科]