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作者对鼻中隔粘膜下切除术(SMR)和鼻中隔成形术(SPL)后的远期疗效进行了同顾性对比研究。二组病人(137例和86例)分别用调查表和鼻部检查,于术后5~9年进行随访观察。其术后鼻塞改善率二组分别为66%(SMR)和77%(SPL)。分析影响疗效因素,发现86例行SPL的患者中,26例伴有变应性鼻炎者其术后有效率为65%,而另60例无鼻炎者术后有效率达82%;有经验的医生所施手术的成功率为90%,而工作不到三年的医生所施手术的成功率仅为59%,因此强调了技术熟练程度对疗效的影响。
The authors performed a meta-comparative study of long-term outcomes after subtotal rhinoplasty (SMR) and nasal septoplasty (SPL). Two groups of patients (137 cases and 86 cases) were investigated by questionnaire and nasal examination, respectively, and were followed up 5 to 9 years after operation. The improvement rate of postoperative nasal obstruction was 66% (SMR) and 77% (SPL) in the two groups respectively. Analysis of the factors that affect the efficacy and found that 86 patients with SPL in patients with 26 cases of allergic rhinitis with an effective rate of 65%, while the other 60 cases of rhinitis without postoperative efficiency of 82%; experienced The doctor’s rate of successful surgery was 90%, while less than three years of doctors administered surgery only 59% success rate, thus emphasizing the technical proficiency on the effect.