鼻内镜下鼻中隔软骨尾端偏曲矫正术的临床效果分析

doi:10.6040/j.issn.1673-3770.0.2024.069

摘要/Abstract

摘要： 目的探讨鼻内镜下鼻中隔软骨尾端偏曲的矫正手术方法及其疗效。方法回顾性分析26例鼻中隔偏曲患者资料,采用鼻内镜下鼻中隔软骨尾端减张-固定术进行矫正,分别采用鼻内镜检查、鼻腔鼻窦结局测试-20评分(sino-nasal outcome test-20, SNOT-20)和鼻塞症状视觉模拟量表(visual analogue scale, VAS)评价患者术前、术后1个月、术后1年鼻腔情况和生活质量。结果 26例均无出现严重并发症,术后1个月、1年鼻内镜检查显示22例患者鼻中隔居中,4例鼻中隔基本居中。术后1年,鼻塞程度VAS评分和SNOT-20评分显示术后与术前相比均有明显下降(均为P<0.01)。结论鼻内镜下方形软骨尾端减张-固定术是一种有效的治疗鼻中隔尾端偏曲的手术方法,能够改善患者生活质量。

关键词: 鼻内镜, 鼻中隔尾端偏曲, 方形软骨, 鼻中隔矫正, 尾端减张-固定术

Abstract: Objective Explore the surgical method and efficacy of endoscopic correction of caudal septal cartilage deviation. Methods A retrospective analysis of 26 patients with septal cartilage deviation admitted were performed. Patients underwent endoscopic retension-fastening of the caudal septal cartilage for correction. Nasal endoscopy, Nasal congestion VAS score and SNOT-20 score were performed before surgery, one month after surgery and one year after surgery. Results None of the 26 patients had serious complications. One month and one year after surgery, 22 patients had a centered septum and 4 patients had a nearly centered septum. Nasal congestion VAS score and SNOT-20 score showed a significant decrease 1 year after surgery compared to before surgery(P<0.01). Conclusion Endoscopic retension-fastening of the caudal septal cartilage is an effective surgical method for the treatment of cartilage caudal deviation, which can improve the quality of life of patients.

Key words: Endoscopic, Caudal septal cartilage deviation, Quadrangular cartilage, Cartilage deviation, Cartilage caudal deviation

中图分类号:

R765.3+1

李帅,黄春燕,常明章. 鼻内镜下鼻中隔软骨尾端偏曲矫正术的临床效果分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 65-70.

LI Shuai, HUANG Chunyan, CHANG Mingzhang. Endoscopic correction of caudal septal cartilage deviation:clinical outcome analysis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 65-70.

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