摘要
目的探讨鼻中隔偏曲并下鼻甲肥大行鼻中隔偏曲矫正联合下鼻甲外移术的临床效果。方法收集我院耳鼻喉科2012年1月～2015年1月收治的鼻中隔偏曲并下鼻甲肥大患者80例，随机数字表法分为试验组和对照组，每组40例，两组患者均经过常规的术前检查和准备后，患者均给予鼻中隔偏曲矫正术，观察在此基础上给予下鼻甲外移术，观察两组治疗效果。结果两组治疗效果差异具有统计学意义（P〈0．05），其中试验组有效率为100．0％。对照组为87．5％，差异具有统计学意义（P〈0.05）。试验组手术治疗3d后，取出填塞膨胀海绵后出现鼻中隔血肿1例，并且发生粘连1例，无感染以及随访无复发现象，血肿经过清除性双侧凡士林纱布填塞后经过2d消失。对照组在矫正术后3d发生粘连1例，感染1例以及随访1例复发，粘连和感染经过再次分离和抗感染治疗好转，复发病例继续行手术治疗，试验组并发症发生为5．0％，对照组为7．5％，差异无统计学意义（P〉0．05）。结论鼻中隔偏曲并下鼻甲肥大行鼻中隔偏曲矫正联合下鼻甲外移术可以明显的提高治疗效果，并且具有一定安全性，值得临床推荐。
Objective To investigate the clinical efficacy of nasal septum and relocation surgery of inferior turbinate in treating deviation of nasal septum and hypertrophic inferior turbinate. Methods A total of 80 patients with deviation of nasal septum and hypertrophic inferior turbinate in our ENT from January 2012 to January 2015 were divided into the experimental group and the control group by table of random number, with 40 cases in each group. After routine preop- erative examination and preparation, patients in the two groups were given nasal septum surgery, and patients in the observation group were given relocation surgery of inferior turbinate on this basis. The treatment effects of the two groups were observed. Results The difference between of the the treatment effects two groups was statistically significant （P〈0.05）. The effective rate of the experimental group was 100.0%, and that in the control group was 87.5%, the difference was statistically significant（P〈0.05）. 3 days after surgical treatment and after removing stuffing swelling sponge, there was one case of septal hematoma, and one case of blocking in the experimental group, without infection and recurrence in follow-up. The hematoma disappeared 2 days after scavenging bilateral vaseline gauze packing. 3 days after septum surgery, there was 1 case of adhesions and 1 case of infection as well as one case of recurrence in follow-up in the control group. Adhesions and infections improved through re-separation and anti-infection treatment, and the patients of recurrence underwent continues surgery. Complication occurrence rate in the experimental group was 5.0%, and that in the control group was 7.5%, and the difference was not statistically significant （P〉0.05）. Conclusion The nasal septum and relocation surgery of inferior turbinate in treating deviation of nasal septum and hypertrophic inferior turbinate can significantly improve the therapeutic effect, and has a certain degree of security. So it is worthy of recommendation.
出处
《中国现代医生》
2015年第31期65-67,73,共4页
China Modern Doctor
关键词
鼻中隔偏曲
下鼻甲肥大
鼻中隔偏曲矫正
下鼻甲外移术
Deviation of nasal septum
Hypertrophic inferior turbinate
Nasal septum
Relocation surgery of inferior turbinate
