鼻内窥镜下鼻中隔手术的优势分析

发布时间：2019-05-31 21:37

【摘要】：目的为了研究鼻内窥镜在鼻中隔手术的治疗中的作用,对比传统手术与鼻内窥镜辅助治疗术对鼻中隔的治疗效果。方法根据该院2012年1月—2016年6月所收治的98例鼻中隔手术患者的临床治疗资料,采用随机分组方式将全部患者分为对照组和治疗组,每组各有患者49例,其中对照组采用传统治疗手术,治疗组采用鼻内窥镜辅助治疗术,对比两组患者的治疗效果以及术后恢复情况。结果对照组治愈19例,治愈率38.78%;好转21例,好转率42.86%;无效9例,无效率18.37%;治疗总有效率81.63%。术后并发症7例,占比14.29%。治疗组治愈34例,治愈率69.39%;好转15例,好转率30.61%;无效0例,无效率0.00%。术后并发症0例,占比0.00%。对比两组患者治疗效果,治疗组明显优于对照组,其结果差异有统计学意义(P0.05)。对比两组患者术后并发症发生情况,治疗组明显优于对照组,其结果差异有统计学意义(P0.05)。结论与传统治疗手术由于视野限制,致使手术深度、手术视野、手术精准度不能达到理想状态,进而大大降低了手术的成功几率,易造成鼻中隔纠正效果不好、鼻粘膜破坏程度较大、鼻中隔软骨切开程度不理想,尤其对于高位偏曲手术尤为困难,甚至会导致鼻穿孔等情况的发生,而鼻内窥镜辅助的鼻中隔手术在术中能够获得良好的操作视野,从而大大提升了治疗效果、降低了手术风险。
[Abstract]:Objective to study the role of nasal endoscopy in the treatment of nasal septum, and to compare the therapeutic effect of traditional surgery and nasal endoscopic auxiliary therapy on nasal septum. Methods according to the clinical treatment data of 98 patients undergoing nasal septum surgery from January 2012 to June 2016, all patients were randomly divided into control group (n = 49) and treatment group (n = 49). The control group was treated with traditional treatment and the treatment group was treated with nasal endoscope auxiliary therapy. The therapeutic effect and postoperative recovery of the two groups were compared. Results in the control group, 19 cases were cured, the cure rate was 38.78%, 21 cases were improved, the improvement rate was 42.86%, 9 cases were ineffective, the ineffective rate was 18.37%, and the total effective rate was 81.63%. Postoperative complications occurred in 7 cases (14.29%). In the treatment group, 34 cases were cured, the cure rate was 6939%, 15 cases were improved, the improvement rate was 30.61%, and the ineffective case was 0 cases, the ineffective rate was 0.00%. Postoperative complications occurred in 0 cases (0.00%). Compared with the treatment effect of the two groups, the treatment group was significantly better than the control group, and the difference was statistically significant (P 0.05). Compared with the two groups, the postoperative complications of the treatment group were significantly better than those of the control group, and the difference was statistically significant (P 0.05). Conclusion compared with the traditional treatment, the depth of the operation, the visual field of the operation and the accuracy of the operation can not reach the ideal state because of the limitation of the visual field, which greatly reduces the probability of success of the operation and easily leads to the poor correction effect of the nasal septum. The degree of destruction of nasal mucosa is large, and the degree of cartilage incision in nasal septum is not ideal, especially for high deviation surgery, which will even lead to nasal perforation and so on. The nasal septum surgery assisted by nasal endoscope can obtain a good visual field of operation, which greatly improves the therapeutic effect and reduces the risk of operation.
【作者单位】：江苏省南通市通州区人民医院耳鼻咽喉科;
【分类号】：R765.9

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