[1]于辉 朱丽 刘俊秀**.鼻中隔偏曲矫正术对鼻腔结构对称性影响的主客观分析[J].中国微创外科杂志,2019,01(12):1136-1139.
　Yu Hui,Zhu Li,Liu Junxiu..Objective and Subjective Analysis of the Effect of Septoplasty on Nasal Symmetry[J].Chinese Journal of Minimally Invasive Surgery,2019,01(12):1136-1139.
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鼻中隔偏曲矫正术对鼻腔结构对称性影响的主客观分析()

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年12期
页码:
1136-1139
栏目:
经验交流
出版日期:
2019-12-25

文章信息/Info

Title:
Objective and Subjective Analysis of the Effect of Septoplasty on Nasal Symmetry
作者:
于辉 朱丽 刘俊秀**
（北京大学第三医院耳鼻咽喉科，北京100191）
Author(s):
Yu Hui;  Zhu Li;  Liu Junxiu.
Department of Otolaryngology, Peking University Third Hospital, Beijing 100191, China
关键词:
鼻中隔偏曲; 矫正; 对称性; 视觉模拟评分
Keywords:
Deviation of nasal septum; Correction; Symmetry; Visual Anologue Scale
文献标志码:
B
摘要:
目的探讨鼻中隔偏曲矫正术对鼻腔结构对称性的影响。方法2018年1～6月我科对12例成年鼻中隔偏曲行单纯鼻中隔偏曲矫正术，对术前后鼻腔结构的水平距离与厚度、术前后鼻腔通气程度视觉模拟评分（Visual Analogue Scale,VAS）和双侧下鼻甲距鼻中隔水平距离比值进行主客观评估。结果术后鼻腔狭窄侧下鼻甲最内缘与鼻中隔的水平距离为（3.66±0.72）mm，明显大于术前（3.01±077）mm（t=3.853，P=0.003）。术后鼻腔宽敞侧水平距离、垂直距离、水平厚度（3.64±0.77）、（2.69±0.94）、（8.48±0.69）mm与术前比较均未出现明显变化（t=0.715，P=0.490；t=1.229，P=0245；t=-1.816，P=0.097）。术后患者鼻腔通气程度VAS评分为（4.5±1.7）分，明显低于术前（7.7±0.9）分（t=7.135，P=0000）。双侧下鼻甲距鼻中隔水平距离比值为1.12±0.14，明显优于术前1.45±0.29（t=3.862，P=0.003）。结论鼻中隔偏曲矫正术能恢复鼻腔结构对称性，对改善鼻中隔偏曲患者鼻塞的症状具有重要意义。
Abstract:
ObjectiveTo study the effect of septoplasty on nasal structure and symmetry.MethodsThere were 12 adult patients treated with simple nasal septum deviation correction in our department from January to June 2018. The horizontal distance and thickness of the nasal cavity structure before and after the operation, the VAS score of the ventilation degree of the nasal cavity before and after the operation, and the ratio of the horizontal distance between the bilateral inferior turbinate and the nasal septum were evaluated subjectively and objectively.ResultsThe horizontal distance between the inferior turbinate and the nasal septum on the narrow side of the nasal cavity after operation was (3.66±0.72) mm, which was significantly higher than that before operation ［(3.01±0.77) mm, t=3853, P=0.003］. The horizontal distance, vertical distance and horizontal thickness on the wide side of the nasal cavity after operation were (3.64±0.77), (2.69±0.94), and (8.47±0.68) mm, which were not significantly changed (t=0.715, P=0490; t=1.229, P=0.245; t=-1.816, P=0.097). The VAS score of postoperative nasal ventilation was significantly lower than that of preoperative ［(4.5±1.7) points vs. (7.7±0.9) points, t=7.135, P=0.000］. The ratio of horizontal distance between bilateral inferior turbinate and nasal septum was (1.12±0.14), which was significantly better than that before operation (1.45±0.29, t=3.862, P=0.003).ConclusionSeptoplasty correction can restore the symmetry of nasal structure and is of great significance for improving the symptoms of nasal congestion in patients with nasal septum deviation.

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备注/Memo

备注/Memo:
基金项目: 北京大学第三医院临床重点项目(BYSY2015006)**通讯作者，Email:handsome9059@sina.com
更新日期/Last Update: 2020-04-03