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目的探讨鼻内镜下选择性鼻中隔矫正的手术方法及意义。方法根据鼻中隔偏曲的类型和程度,对564例鼻中隔偏曲患者采用鼻内镜下选择性鼻中隔矫正术,其中单纯鼻中隔偏曲116例,合并有鼻息肉、鼻窦炎59例,合并下鼻甲代偿性肥大389例同期行鼻内镜手术处理。结果 564例中术后随访1~3个月,失访11例。治愈517例(91.7%),好转36例(6.4%),11例失访(1.9%),1例术后早期鼻中隔血肿,经放置引流皮片处理后治愈;2例发生中鼻甲和中隔粘膜粘连,均经鼻内镜下分离而好转;1例发生鼻中隔后下方小穿孔,后3例均合并有鼻窦炎鼻息肉。结论根据鼻中隔偏曲的类型和程度不同,鼻内镜下选择性鼻中隔矫正手术是微创、安全和有效的。
Objective To explore the method and significance of nasal endoscopic selective nasal septum correction. Methods According to the type and extent of nasal septal deviation, we performed nasal endoscopic selective septoplasty on 564 patients with nasal septal deviation. Among them, 116 cases were deviated only in nasal septum, 59 cases were complicated with nasal polyps and sinusitis, 389 cases of compensatory hypertrophy were treated by endoscopic sinus surgery. Results 564 cases were followed up for 1 to 3 months, 11 cases were lost to follow-up. 517 cases (91.7%) were cured, 36 cases (6.4%) were improved, 11 cases were lost (1.9%), and 1 case was treated with nasal septum hematoma after drainage and drainage treatment. Two cases of middle turbinate and septum Mucosal adhesions, were separated by endoscopic improvement; 1 case occurred after the nasal septum small perforation, after 3 cases were combined with sinusitis and nasal polyps. Conclusion According to the different types and degrees of nasal septum deviation, selective endoscopic nasal septum surgery is minimally invasive, safe and effective.