无切口鼻骨重组术整复陈旧性鼻骨骨折畸形  

Recombinative repair for old malunion of the fracture of nasal bone

作　　者：赵华[1] 孙江红[1] 荆建军[1] 刘文中[1] 

机构地区：[1]兰州军区乌鲁木齐总医院耳鼻喉科,830000

出　　处：《中华医学美学美容杂志》2003年第3期151-152,共2页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨采用无切口鼻骨重组术整复外伤陈旧性鼻骨骨折畸形。方法　自 1996年 5月至 2 0 0 1年 12月共收治 4 6例患者 ,其中 2 8例采用鼻骨重组术整复 ,男 2 3例 ,女 5例 ,年龄 18～ 4 5岁 ,平均 2 9岁。用薄橡皮垫保护鼻部皮肤 ,从鼻外用小锤 (以数层乳胶手套包裹 )适当用力敲击变形的鼻骨 ,使其重新骨折 ,通过手法和器械使骨折的鼻骨复位整复畸形。结果　随访 3个月至 5年 ,其中 2 3例鼻外形完全恢复正常 ,5例鼻外形改善 ,总有效率 10 0 %。结论　鼻骨重组术治疗外伤性陈旧性鼻畸形方法无切口 ,简便易行 ,患者痛苦少 ,花费少 ,只要选择病例适当 ,均能取得良好效果。Objective To introduce a new method of recombinative repair for the old malunion of the fracture of nasal bone. Methods Since 1996.5 to 2001.12, this technique was performed in 28 patients, 23 men and 5 women, with a range of 18～45 years, a mean age of 29 years. The nasal skin was protected with a rubber pad, and malformed nasal bones were beat out with a small hammer, so as to create a new refracture, then manual reduction was performed with finger and the septal periosted elevator. Results Follow-up ranged from 3 months to 5 years. Of all the patients, 23 cases were cured, 5 cases improved, and the overall effective rate was 100 %. Most of them were satisfied with the successful operation. Conclusion The operative procedure of recombinative repair is technically simple and easy, and the patients suffer little. It is an update and efficacious therapeutic method.

关 键 词：无切口鼻骨重组术 复陈旧性鼻骨骨折 鼻骨畸形 治疗 手术方法 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]