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目的:探讨以鼻中隔偏曲为主要表现的一类鼻科疾病的诊治手段。方法:采用鼻内镜微创手术对24例临床诊断为鼻中隔偏曲的患者(鼻内镜手术组)进行鼻腔中、下鼻甲,鼻中隔等多结构同步矫形治疗,并与行传统鼻中隔偏曲矫正手术的17例患者(传统手术组)进行比较。结果:术后随访半年以上,鼻内镜手术组24例患者鼻塞症状全部缓解,其中22例流涕症状消失;传统手术组有7例仍感轻度鼻塞,8例仍有流涕症状,两组比较,差异有统计学意义(P<0.05)。结论:采用鼻内镜微创手术进行鼻腔中、下鼻甲,鼻中隔等多结构同步矫形治疗,对以鼻中隔偏曲为主要表现的一类鼻科疾病具有较好的治疗效果。
Objective: To investigate the diagnosis and treatment of a group of nasal diseases with nasal septum deviation as the main manifestation. Methods: Twenty-four patients with nasal septum deviation (endoscopic surgery group) underwent endoscopic minimally invasive endoscopic sinus surgery under nasal sinus, nasal septum and other multi-structure simultaneous orthodontic treatment, and with traditional nasal septum deviation correction Seventeen patients undergoing surgery (conventional surgery group) were compared. Results: After more than six months of follow-up, 24 cases of nasal endoscopic surgery had complete relief of nasal obstruction, and 22 cases of runny nose disappeared. In the traditional operation group, 7 cases remained mild nasal obstruction and 8 cases had runny nose. The difference was statistically significant (P <0.05). Conclusion: Nasal endoscopic minimally invasive surgery for nasal lower turbinate, nasal septum and other multi-structure synchronous orthopedic treatment of nasal septum deviation as the main performance of a class of nasal diseases have a good therapeutic effect.