两种不同手术径路对于鼻中隔偏曲治疗的临床研究

发布时间：2018-03-28 13:12

本文选题：鼻中隔偏曲　切入点：不同手术方式　出处：《重庆医学》2017年16期

【摘要】：目的比较两种不同手术方式对于鼻中隔偏曲的治疗效果。方法选择该院2013年6月至2015年6月收治的分别行鼻中隔成形术(NSS)和鼻中隔矫正术(SRO)治疗的鼻中隔偏曲患者,通过比较两组患者术后临床症状和鼻内镜检查情况来评价两种手术方式的效果。术前及术后第12个月采用视觉模拟量表(VAS)评分对所有患者进行病情评估。结果 NSS组治愈57例(90.5%),好转4例(6.3%),无效2例(3.2%),总有效率为96.8%,无效率为3.2%;SRO组治愈47例(82.4%),好转5例(8.8%),无效5例(8.8%),总有效率为91.2%,无效率为8.8%。两组患者术后疗效比较,差异无统计学意义(P0.05)。术后两组的VAS评分和术后并发症发生率比较,差异无统计学意义(P0.05),各组术前及术后相比差异有统计学意义(P0.05)。结论 NSS及SRO径路均能明显改善患者的临床症状及鼻腔病变情况。
[Abstract]:Objective to compare the therapeutic effects of two different surgical methods for septal deviation. Methods the patients with septal deviation treated by nasal septum plasty (NSS) and nasal septum correction (SRO) from June 2013 to June 2015 were selected. The clinical symptoms and nasal endoscopy of the two groups were compared to evaluate the effect of the two methods. Visual analogue scale (VASS) was used to evaluate the patients' condition before and 12 months after operation. In the NSS group, 57 cases were cured and 90.5% were cured, 4 cases were improved, 4 cases were improved, 2 cases were not effective, the total effective rate was 96.8, the ineffective rate was 3.2%, the ineffective rate was 3.2% and 47 cases were cured 82.4%, 5 cases were improved in 8. 8%, 5 cases were ineffective, the total effective rate was 91. 2% and the ineffective rate was 8. 8%. The curative effect of the two groups was compared, and the total effective rate was 91. 2%, and the non-effective rate was 8. 8%. There was no significant difference between the two groups (P 0.05). The VAS score and the incidence of postoperative complications were compared between the two groups. There was no significant difference between the two groups (P 0.05). Conclusion both NSS and SRO approach can significantly improve the clinical symptoms and nasal lesions of the patients.
【作者单位】：大理大学附属医院耳鼻喉科;
【基金】：云南省社会发展科技计划(应用基础研究项目)资助项目(2010CD124)
【分类号】：R765.9

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