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目的 :研究治疗鼻瓣膜区狭窄性鼻阻塞的新方法。方法 :32例鼻瓣膜区狭窄患者 ,行下鼻甲前端切除术 1 0例 ,鼻外侧软骨凸出矫正术 4例 (左侧 2例、双侧 2例 ) ,骨性梨状孔狭窄扩大术 6例 (左侧 2例、双侧 4例 ) ,观察手术前后鼻通气改善情况以判定疗效。结果 :32例患者经半年～ 2年随访 ,疗效显著 2 6例 ,占81 .2 ,好转 6例 ,占 1 8.8% ,总有效率为 1 0 0 % ,无手术并发症。结论 :手术扩大狭窄鼻瓣膜区符合鼻腔解剖和生理功能 ,手术操作简单 ,术野清晰 ,组织损伤小 ,出血少 ,术后反应轻 ,痛苦小 ,无手术并发症。
Objective: To study a new method of treating stenosis nasal obstruction in nasal valve area. Methods: Twenty - two patients with nasal valvular stenosis underwent 10 cases of anterior inferior turbinate resection and 4 cases of lateral nasal cartilage bulging (2 cases in the left and 2 cases in both sides) Cases (left in 2 cases, bilateral in 4 cases) to observe the improvement of nasal ventilation before and after surgery to determine the efficacy. Results: Thirty-two patients were followed up for two months and two years. There were 26 cases (81.2%), 6 cases improved (8.8%), and the total effective rate was 100%. There was no operative complications. CONCLUSIONS: The surgery expands the narrow nasal valve area in line with the nasal anatomy and physiology functions. The operation is simple, the operation field is clear, the tissue damage is small, the bleeding is less, the postoperative reaction is light, the pain is little and no operation complication occurs.