摘要
目的探究采用鼻内切口黏膜入路行鼻中隔偏曲矫正术对鼻中隔偏曲患者通气功能的影响,为改善患者通气功能提供经验。方法前瞻性选取2020年7月至2022年7月郑州市第七人民医院耳鼻喉科收治的72例拟行鼻中隔偏曲矫正术的患者为研究对象,采用随机数字表法分为研究组与对照组,各36例。对照组患者接受常规鼻中隔外径入路行鼻中隔偏曲矫正术,研究组患者接受鼻内切口黏膜入路行鼻中隔偏曲矫正术,两组患者术后均接受3个月随访。于术后3个月对比两组临床疗效,比较术前、术后3个月通气功能(鼻阻力、鼻声反射)变化情况及术后并发症发生情况。结果术后3个月,研究组治疗总有效率高于对照组(P<0.05);术后3个月,两组鼻腔容积、鼻腔最小横截面积较术前均增大,且研究组大于对照组(P<0.05);而两组最小横截面距前鼻孔距离、鼻阻力参数均较术前降低,且研究组低于对照组(P<0.05);两组并发症发生率对比,差异无统计学有意义(P>0.05)。结论采用鼻内切口黏膜入路行鼻中隔偏曲矫正术治疗鼻中隔偏曲的效果确切,可提升患者通气功能,具有良好的安全性。
Objective To explore the effect of nasal septum deviation correction via intranasal mucosal incision on the ventilation function of patients with nasal septum deviation,and to provide experience for improving the ventilation function of patients with nasal septum deviation.Methods From July 2020 to July 2022,72 patients who were admitted to the Department of Otolaryngology of the 7th People’s Hospital of Zhengzhou and planned to undergo correction of nasal septum deviation were prospectively selected as the research objects.They were randomly divided into the study group and the control group,with 36 cases in each group.The patients in the control group were treated with routine nasal septum deviation correction via the outer diameter approach,and the patients in the study group were treated with nasal septum deviation correction via intranasal incision mucosa approach.The patients in both groups were followed up for 3 months after surgery.The clinical efficacy of the two groups was compared at 3 months after operation.The changes of ventilation function(nasal resistance,nasal acoustic reflex)and postoperative complications were compared before and 3 months after operation.Results Three months after surgery,the total effective rate of the study group was higher than that of the control group(P<0.05).Three months after surgery,the nasal volume and minimum cross-sectional area of the two groups increased compared to before surgery,and the study group was larger than the control group(P<0.05).The distance from the minimum cross section to the anterior nares and nasal resistance parameters of the two groups were lower than those before surgery,and the study group was lower than the control group(P<0.05).There was no statistical significant difference in the incidence of complications between the two groups(P>0.05).Conclusion The treatment of nasal septum deviation by intranasal incision mucosa approach is effective and safe,which can improve the ventilation function of patients with nasal septum deviation.
作者
庞艳荣
PANG Yanrong(Department of Otolaryngology,the 7th People’s Hospital of Zhengzhou,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2024年第4期656-659,共4页
Henan Medical Research
关键词
鼻中隔偏曲
鼻内切口黏膜入路
鼻中隔偏曲矫正术
通气功能
nasal septum deviation
intranasal incision mucosa approach
correction of nasal septum deviation
ventilation function
