鼻腔歪斜合并鼻中隔偏曲患者同期修复治疗的临床观察(1)
[摘要]目的：探究鼻腔歪斜合并鼻中隔偏曲患者同期修复治疗的临床疗效。方法：将笔者医院耳鼻喉科2014年3月-2017年8月收治的60例鼻腔歪斜合并鼻中隔偏曲患者作为研究对象，采用鼻腔歪斜整形术联合鼻中隔偏曲矫正术对所有患者进行同期手术治疗。观察、分析所有患者的同期修复治疗效果。结果：所有患者的鼻腔歪斜、鼻中隔偏曲以及鼻腔通气不畅等状况均得到纠正和显著改善，鼻中隔位置处于中间位置，嵴突消失，鼻背挺直，鼻尖偏离中线在3mm以内，未见鼻腔粘连、鼻中隔穿孔等并发症发生。治疗后，患者的鼻外形偏曲值明显低于治疗前，其鼻外形歪斜程度较治疗前显著改善，面部美观满意度评分也明显高于治疗前，差异有统计学意义(P<0.05)。所有患者治疗后的NCV、NMCA水平明显高于治疗前，NAR水平则明显低于治疗前，差异有统计学意义(P<0.05)。结论：同期修复治疗可有效改善鼻腔歪斜合并鼻中隔偏曲患者鼻通气功能，还能使鼻腔歪斜得到有效纠正，获得较为满意的鼻面部美容整形效果，值得在临床上积极推广。
[关键词]鼻腔歪斜；鼻中隔偏曲；同期修复；矫正；面部美观
, http://www.100md.com
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0119-04
Abstract： Objective To research the clinical efficacy of simultaneous repair for nasal deviation and nasal septum deviation. Methods From March 2014 to August 2017， 60 patients nasal deviation and nasal septum deviation in ear-nose-throat department in our hospital were selected as the research objects. All patients were treated with nasal cavity oblique plastic surgery combined with septum deviation correction. Observed and analyzed of all patients in the effect of simultaneous repair. Results All patients with nasal deviation， nasal septum and nasal ventilation in poor condition were corrected and improved， the nasal septum position was in the middle position， the ridge process disappeared， the nasal dorsum was straight， the nasal tip deviated from the middle line within 3mm， and no complications such as nasal adhesion and perforation of the nasal septum were found. After treatment， the deviation of nasal shape was significantly lower than that before treatment. The degree of nasal distortion was significantly better than that before treatment， and the satisfaction score of facial beauty was significantly higher than that before treatment， and the differences were statistically significant (P<0.05). The level of NCV and NMCA in all patients were significantly higher than those before treatment， and the level of NAR was significantly lower than that before treatment， and the differences were statistically significant (P<0.05). Conclusion Concurrent repair can effectively improve nasal ventilation in patients with nasal deviation and nasal septum deviation， and can also effectively correct the nasal cavity deviation， and get the more satisfactory cosmetic effect of the nose and face. It is worth promoting in clinic.
, 百拇医药
Key words： nasal deviation； nasal septum deviation； simultaneous repair； correction； facial appearance
鼻腔歪斜患者通常合并有鼻中隔偏曲，患者除了對鼻腔外形不满意外，临床上还伴有鼻塞、头痛等症状[1]。单纯对鼻腔歪斜进行整形或对鼻中隔偏曲进行矫治，患者需要接受两次手术治疗，额外增加了对患者身体的损伤[2]，给患者造成不必要的痛苦，此外还会给二次手术增加难度。借助鼻内镜对鼻腔歪斜合并鼻中隔偏曲患者进行同期治疗，能够同时完成鼻中隔偏曲畸形矫正和鼻腔歪斜整形，在有效缓解鼻部通气障碍的同时，又能够达到较好地鼻腔歪斜畸形矫正，兼具治疗和美容整形的双重功效[3]。本研究对60例鼻腔歪斜合并鼻中隔偏曲的患者予以同期手术治疗，取得了较为满意的临床疗效，现将具体情况报道如下。, http://www.100md.com(陈瑾 万珍)
[关键词]鼻腔歪斜；鼻中隔偏曲；同期修复；矫正；面部美观
, http://www.100md.com
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0119-04
Abstract： Objective To research the clinical efficacy of simultaneous repair for nasal deviation and nasal septum deviation. Methods From March 2014 to August 2017， 60 patients nasal deviation and nasal septum deviation in ear-nose-throat department in our hospital were selected as the research objects. All patients were treated with nasal cavity oblique plastic surgery combined with septum deviation correction. Observed and analyzed of all patients in the effect of simultaneous repair. Results All patients with nasal deviation， nasal septum and nasal ventilation in poor condition were corrected and improved， the nasal septum position was in the middle position， the ridge process disappeared， the nasal dorsum was straight， the nasal tip deviated from the middle line within 3mm， and no complications such as nasal adhesion and perforation of the nasal septum were found. After treatment， the deviation of nasal shape was significantly lower than that before treatment. The degree of nasal distortion was significantly better than that before treatment， and the satisfaction score of facial beauty was significantly higher than that before treatment， and the differences were statistically significant (P<0.05). The level of NCV and NMCA in all patients were significantly higher than those before treatment， and the level of NAR was significantly lower than that before treatment， and the differences were statistically significant (P<0.05). Conclusion Concurrent repair can effectively improve nasal ventilation in patients with nasal deviation and nasal septum deviation， and can also effectively correct the nasal cavity deviation， and get the more satisfactory cosmetic effect of the nose and face. It is worth promoting in clinic.
, 百拇医药
Key words： nasal deviation； nasal septum deviation； simultaneous repair； correction； facial appearance
鼻腔歪斜患者通常合并有鼻中隔偏曲，患者除了對鼻腔外形不满意外，临床上还伴有鼻塞、头痛等症状[1]。单纯对鼻腔歪斜进行整形或对鼻中隔偏曲进行矫治，患者需要接受两次手术治疗，额外增加了对患者身体的损伤[2]，给患者造成不必要的痛苦，此外还会给二次手术增加难度。借助鼻内镜对鼻腔歪斜合并鼻中隔偏曲患者进行同期治疗，能够同时完成鼻中隔偏曲畸形矫正和鼻腔歪斜整形，在有效缓解鼻部通气障碍的同时，又能够达到较好地鼻腔歪斜畸形矫正，兼具治疗和美容整形的双重功效[3]。本研究对60例鼻腔歪斜合并鼻中隔偏曲的患者予以同期手术治疗，取得了较为满意的临床疗效，现将具体情况报道如下。, http://www.100md.com(陈瑾 万珍)
参见：首页 > 医疗版 > 疾病专题 > 耳鼻喉科 > 鼻及鼻窦疾病 > 鼻腔疾病 > 鼻中隔偏曲