鼻声反射在鼻中隔偏曲中的临床应用研究

发布时间：2018-02-23 04:37

本文关键词： 鼻测量声学鼻中隔偏曲　出处：《中国耳鼻咽喉头颈外科》2014年08期 　论文类型：期刊论文

【摘要】：目的利用鼻声反射测量,寻找对鼻中隔偏曲诊断及手术效果评估的客观依据。方法应用鼻声反射测量鼻腔不同部位的截面积和各段鼻腔的容积,分析鼻中隔偏曲患者与正常人、生理性偏曲者的各参数差异,结合视觉模拟量表(visual analogue scale,VAS)评分,分析手术前、后各组鼻声反射参数与主观鼻塞的相关性。结果正常组鼻腔与生理性偏曲组中偏曲侧鼻腔的MCA2、MD3有统计学差异。病例组中鼻堵侧鼻腔与生理性偏曲组中偏曲侧鼻腔的MD2、V2~3有统计学差异。术前鼻塞症状的VAS评分与MCA2、MCA3、V2~3、V3~5、V0~7呈负相关。手术前后VAS评分的改变与MCA3、V3~5、V0~7的改变呈负相关。结论鼻声反射检查可为鼻中隔偏曲的诊断提供客观量化依据,用于手术效果的评估。
[Abstract]:Objective to find the objective basis for the diagnosis of nasal septum deviation and the evaluation of the effect of surgery by using nasal acoustic reflex measurement. Methods the nasal septum deviation and normal subjects were analyzed by using nasal acoustic reflex to measure the sectional area of nasal cavity and the volume of nasal cavity. The differences of parameters in physiologic deviations were analyzed by visual analogue scale scale (VAS) score before operation, and before the operation, visual analogue scale and visual analogue scale (VAS) were used to analyze the parameters of the patients. Results there were significant differences in MCA2MD3 between the nasal cavity of normal group and physiologic deviation group. The preoperative VAS score of nasal congestion was negatively correlated with MCA2 / MCA3 / V3 / V3 / V0 / 7, and the change of VAS before and after operation was negatively correlated with the change of MCA3 / V3 / V5 / V0 / 7. Conclusion nasal acoustic reflex examination can provide an objective quantitative basis for the diagnosis of nasal septum deviation. For evaluation of surgical outcomes.
【作者单位】：中山大学孙逸仙纪念医院耳鼻咽喉头颈外科;
【分类号】：R765

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