鼻内镜在茎突过长手术中的临床应用

发布时间：2018-05-09 08:32

本文选题：茎突综合征 + 内镜检查　；参考：《临床耳鼻咽喉头颈外科杂志》2014年11期

【摘要】：目的:探讨鼻内镜在茎突截短手术中的临床应用及其疗效。方法:将66例患者随机分为鼻内镜组与对照组,各组33例。鼻内镜组在茎突截短术中使用鼻内镜辅助下行茎突截短术,对照组则采用常规方法即口内路径行茎突截短术,手术均由同一术者完成。术后观察并记录茎突截短长度、手术时间、术中出血量、术后疼痛时间及程度、术后创面反应程度及术后再出血共6项指标。结果:鼻内镜组茎突截断长度较对照组长;2组手术时间比较无明显差异;鼻内镜组术中出血量为(85.0±35.0)ml,对照组为(95.0±40.0)ml,两者无明显差异;鼻内镜组患者术后疼痛较对照组轻,时间也较短;鼻内镜组患者术后创面反应较对照组轻;2组术后均无出血。结论:鼻内镜应用于双侧茎突截短术中截短茎突长度较长,且术后疼痛小,反应轻,是一种较为安全、微创的手术方式。
[Abstract]:Objective: to investigate the clinical application and curative effect of nasal endoscopy in styloid process truncation. Methods: 66 patients were randomly divided into nasal endoscopic group (n = 33) and control group (n = 33). In the nasal endoscope group, the styloid process was truncated by endoscope assisted by nasal endoscope, while in the control group, the styloid process was truncated by the conventional method, I. E. the intraoral approach, all of which were performed by the same operation. The length of truncation of styloid process operative time intraoperative bleeding time and degree of postoperative pain the degree of postoperative wound reaction and postoperative bleeding were observed and recorded. Results: there was no significant difference in the length of truncation of styloid process between the endoscopic group and the control group, the intraoperative blood loss was 85.0 卤35.0ml in the endoscopic group and 95.0 卤40.0ml in the control group, and the postoperative pain in the endoscopic group was less than that in the control group. The postoperative wound reaction in the nasal endoscopy group was less than that in the control group. Conclusion: nasal endoscopy is a safe and minimally invasive procedure for bilateral styloid process truncation.
【作者单位】：荆州市中心医院耳鼻咽喉科;
【分类号】：R766.21

【参考文献】