應用鼻內(nèi)窺鏡實施鼻中隔偏曲矯正手術(shù)的治療效果探討

胡曉勛　付書彩

[摘要] 目的 探討應用鼻內(nèi)窺鏡實施鼻中隔偏曲矯正手術(shù)的治療效果。 方法 選取2016年1月～2017年1月我院收治的54例應用鼻內(nèi)窺鏡實施鼻中隔偏曲矯正手術(shù)患者的完整資料進行分析研究，采用拋硬幣方式隨機分配54例患者為觀察組和対照組，各27例，對照組采用傳統(tǒng)矯正手術(shù)方式，觀察組實施鼻內(nèi)窺鏡實施鼻中隔偏曲矯正手術(shù)治療，對兩組患者治療的臨床療效以及并發(fā)癥發(fā)生情況進行觀察比較。 結(jié)果 觀察組患者的臨床治療總有效率為100.00%，對照組為85.19%，觀察組明顯高于對照組，觀察組患者全部獲得治愈，無一例出現(xiàn)并發(fā)癥，經(jīng)過術(shù)后6個月內(nèi)的隨訪，對照組出現(xiàn)鼻腔黏連2例，鼻中隔穿孔1例，血腫1例，并發(fā)癥發(fā)生率明顯高于觀察組，差異均有統(tǒng)計學意義（P<0.05）。 結(jié)論 應用鼻內(nèi)窺鏡實施鼻中隔偏曲矯正手術(shù)能有效提高臨床治療有效率，降低術(shù)后并發(fā)癥發(fā)生情況，是一種有效的手術(shù)治療方法，值得在臨床治療中大力推廣應用。

[關(guān)鍵詞] 鼻內(nèi)窺鏡；鼻中隔偏曲；矯正手術(shù)；治療效果

[中圖分類號] R765.9 [文獻標識碼] B [文章編號] 1673-9701（2017）36-0064-03

[Abstract] Objective To investigate the therapeutic effect of nasal endoscopy on the correction operation of nasal septum deviation. Methods The complete data of 54 patients who were admitted to our hospital and were given endoscopic correction operation of nasal septum deviation were reviewed and analyzed. The data collection time was from January 2016 to January 2017. The 54 patients were randomly divided into observation group and control group according to the flipping coin method， with 27 patients in each group. The control group was given traditional correction operation， and the observation group was given nasal endoscopy for the correction operation of nasal septum deviation. The clinical efficacy and complications of the two groups of patients were observed， compared and analyzed. Results The total effective rate of clinical treatment in the observation group was 100.00%， and the total effective rate in the control group was 85.19%. The observation group was significantly higher than the control group. All patients in the observation group were cured， with no complications occurred. After 6 months of follow-up visit， there were 2 cases of nasal adhesions， 1 case of nasal septum perforation， and 1 case of hematoma in the control group. The incidence rate of complications was significantly higher than that in the observation group， and the difference was statistically significant（P<0.05）. Conclusion The application of nasal endoscopy for the correction operation of nasal septum deviation can effectively improve the efficacy of clinical treatment， and reduce the incidence of postoperative complications， which is an effective surgical treatment method， and is worthy of widespread promotion and application in clinical treatment.

[Key words] Nasal endoscope； Nasal septum deviation； Correction operation； Therapeutic effect

鼻中隔偏曲是臨床常見的疾病，是由于鼻中隔向一側(cè)或者兩側(cè)彎曲而引起的鼻腔、鼻竇生理障礙，常常伴有鼻塞、頭痛和鼻出血等臨床癥狀，是耳鼻喉科常發(fā)病癥，一般患者存在過往鼻外傷史[1]。傳統(tǒng)的手術(shù)治療方法利用反光鏡進行照明，從而切除鼻中隔軟骨和篩骨垂直板和梨骨的一部分，導致矯正后的鼻中隔堅固性降低，隨著呼吸晃動，不利于鼻腔功能的恢復，而且手術(shù)設(shè)備比較落后，醫(yī)師對患者的手術(shù)操作部位需要摸索進行，往往在術(shù)后出現(xiàn)許多并發(fā)癥，臨床治療有效率較低。隨著鼻內(nèi)窺鏡矯正手術(shù)治療范圍的擴展，逐漸被應用于鼻中隔偏曲治療中，可以說現(xiàn)階段鼻內(nèi)窺鏡下實施鼻中隔偏曲矯正手術(shù)是治療該種疾病的常用手術(shù)[2]?！?br>