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目的探讨鼻内镜下鼻中隔成形术临床疗效。方法回顾分析本科自2006年4月至2009年3月80例鼻中隔偏曲患者行鼻内镜下鼻中隔成形术患者的临床资料。结果术后患者均无鼻中隔穿孔、鞍鼻、鼻腔干燥等并发症,术后3个月复查,治愈55例,好转25例,无效0例。结论鼻中隔偏曲是鼻科常见的疾病之一,由于它对邻近器官的压迫,导致中、下鼻甲和鼻道窦口复合体发育异常,造成鼻腔、鼻窦引流障碍而出现的临床症状。鼻中隔偏曲与许多鼻部疾病有关,因此手术中同时矫正鼻中隔畸形就有更积极的治疗意义。综上所述,由于鼻内镜光亮度好、术野清晰、微创、直观、提高了手术的准确性,减少了患者痛苦及经济负担,便于术后复查,有利于恢复鼻腔、鼻窦解剖结构和生理功能的优点,值得临床推广。
Objective To investigate the clinical effect of nasal septoplasty under endoscopic sinus surgery. Methods The clinical data of 80 patients with nasal septum deviation under nasal endoscopic septoplasty from April 2006 to March 2009 were retrospectively analyzed. Results No postoperative nasal septum perforation, saddle nose, nasal dryness and other complications, 3 months after the review, 55 cases were cured, improved in 25 cases, 0 cases. Conclusions Partial nasal septum deviation is one of the most common diseases in rhinology. Due to the compression of the adjacent organs, the nasal septum deviation causes the abnormal development of the middle and inferior turbinate and nasal sinus ostium complex, resulting in clinical symptoms of nasal and sinus drainage disorders. Nasal septum deviation with many nasal diseases, so surgery at the same time to correct nasal septum deformity has a more active therapeutic significance. In summary, due to good endoscopic brightness, clear surgical field, minimally invasive, intuitive and improve the accuracy of the surgery, reducing patient pain and financial burden, ease of postoperative review, is conducive to the recovery of the nasal cavity, sinus anatomy And the advantages of physiological functions, it is worth clinical promotion.