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目的:探讨经鼻内窥镜选择性鼻中隔粘膜下切除术的意义及手术方法。方法:根据不同的手术目的对204例需要行鼻中隔手术的病人,经鼻内窥镜实施选择性鼻中隔粘膜下切除术。结果:采用该技术对单纯性鼻中隔偏曲患者手术临床治愈率100%,其手术有效治愈头痛、鼻阻及鼻出血等鼻中隔偏曲临床症状,达到临床治疗目的。未出现鼻腔粘连、鼻中隔穿孔等并发症。有2例形成鼻中隔血肿,经放置引流管处理后治愈。对于解除高位鼻中隔偏曲解剖异常引发的鼻窦炎,手术后效果良好。取鼻中隔软骨做为修补材料手术效果满意。结论:经鼻内镜选择性鼻中隔粘膜下切除术目的性强、方法灵活、创伤小、并发症少、手术效果确切。
Objective: To explore the significance of nasal endoscopic selective nasal septum resection and surgical methods. Methods: According to different surgical purposes, 204 patients undergoing nasal septal surgery underwent selective nasal septum submucosal resection via nasal endoscopy. Results: The clinical cure rate was 100% in patients with simple deviation of nasal septum. The operation can effectively cure the clinical symptoms of nasal septum deviation such as headache, nasal obstruction and epistaxis and achieve the purpose of clinical treatment. No nasal adhesions, nasal septum perforation and other complications. There are 2 cases of nasal septum hematoma, after treatment by drainage tube cure. For the relief of high nasal septum deviation caused by abnormal sinusitis sinusitis, the effect is good after surgery. Septal cartilage taken as a repair material satisfactory results. CONCLUSION: Nasal endoscopic selective nasal septum submucosal resection is highly targeted, flexible and less traumatic, with fewer complications and the exact effect.