鼻声反射测定在鼻中隔穿孔中的临床意义

山东大学耳鼻喉眼学报 ›› 2011, Vol. 25 ›› Issue (5): 56-.

鼻声反射测定在鼻中隔穿孔中的临床意义

张天振,张庆泉,王强,陈秀梅,姜绍红,张华,王艳,柳忠禄

青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉头颈外科，山东烟台 264000

收稿日期:2011-05-16 修回日期:2011-07-05 出版日期:2011-10-16 发布日期:2011-10-16
作者简介:张天振，男，主治医师，主要从事耳鼻喉疾病的临床研究。

The clinical significance of acoustic rhinometry in nasal septum perforation

ZHANG Tian-zhen，ZHANG Qing-quan, WANG Qiang, CHEN Xiu-mei ，JIANG Shao-hong, ZHANG Hua, WANG Yan, LIU Zhong-lu

Received:2011-05-16 Revised:2011-07-05 Online:2011-10-16 Published:2011-10-16

摘要/Abstract

摘要：

目的探讨鼻中隔穿孔的鼻声反射特征并指导临床。方法对18例鼻中隔穿孔患者穿孔完全愈合后行鼻声反射检查并同时利用视觉评分系统（visual analogue scale,VAS）对患者的鼻塞症状进行评分，采用SPSS16.0统计软件，对术前术后的数据进行配对t检验，并对VAS评分和鼻腔2～7cm容积（NCV2-7）、双侧鼻腔的最小横截面积（NMCA）进行相关性分析。结果术前NCV2-7、NMCA和VAS评分分别为（8.25±1.12cm）3、（0.54±0.08cm）2、3.46±1.02，术后分别为（6.45±0.98 ）cm3、(0.48±0.07)cm2、1.74±0.64，NCV2-7和VAS评分手术前后差异有统计学意义（P＜0.01），NMCA手术前后差异无统计学意义（P＞0.05）。术前、术后VAS评分和NMCA相关系数分别为0.762、0.814， VAS评分和NCV2-7的相关系数分别为0.384、0.432， NCV2-7和NMCA的相关系数分别为0.234、0.316，手术前后的VAS评分和NMCA相关性有统计学意义（P＜0.01）, VAS评分和NCV2-7相关性无统计学意义，NMCA和NCV2-7亦无统计学意义上的相关性。结论鼻中隔穿孔患者的鼻声反射图具有典型的特异性改变：对应穿孔部位的双侧鼻腔鼻声反射图呈对称性改变，且显著增高，对称性部分能间接反映穿孔的前后距离，鼻声反射检查对于判断鼻中隔穿孔的位置、大小，司法鉴定，疗效判定，隐匿性穿孔的发现，手术侧别、径路、方案的选择具有一定的指导意义。

关键词: 鼻中隔穿孔；鼻声反射；视觉评分系统

Abstract:

Objective To analyze the clinical characteristics of the acoustic rhinometry with nasal septum perforation. Methods 18 cases of nasal septal perforation were received acoustic rhinometry before and after surgery and also were evaluated nasal obstruction score by visual analogue scale(VAS) the SPSS16.0 software underwent a t test paired data before and after surgery, also were analyzed the correlation among VAS score, NCV2-7 and NMCA. Results Pre-operative NCV2-7, NMCA, and VAS scores were respectively 8.25±1.12cm3, 0.54±0.08cm2, and 3.46±1.02, post-operative were 6.45±0.98cm3, 0.48±0.07cm2, 1.74±0.64, preoperative, and post-operative NCV2-7 and VAS score showed significantly difference (P<0.01), NMCA showed no significant difference before and after surgery (P>0.05). the correlation coefficients of the pre-operative and post-operative VAS scores and NMCA were 0.762, 0.814, pre-operative and post-operative correlation coefficients of the VAS score and NCV2-7 were 0.384, 0.432, pre-operative and post-operative correlation coefficients of the NCV2-7 and NMCA were 0.234, 0.316, pre-operative and post-operative VAS scores and NMCA's relationship showed statistical significance (P<0.01), pre-operative and post-operative VAS scores and NCV2-7 showed no statistically significant correlation, the correlation between pre-operative and post-operative NMCA and NCV2-7 showed no statistical significance. Conclusion The acoustic rhinometry graph of nasal septum perforation has typical characteristics：Corresponding to the perforated parts of the bilateral nasal acousticrhinometry graph showing significantly higher changes in symmetry, and the symmetry can indirectly reflect some distance from the front to the back perforation, for judging the perforation location, size, forensic, therapeutic decision, finding occult perforation, surgical side of the nasal cavity, surgical approach, operative procedures have certain significance.

Key words: Nasal septal perforation; Acoustic rhinometry; Visual scoring system

中图分类号:

R765.3+4

张天振,张庆泉,王强,陈秀梅,姜绍红,张华,王艳,柳忠禄. 鼻声反射测定在鼻中隔穿孔中的临床意义[J]. 山东大学耳鼻喉眼学报, 2011, 25(5): 56-.

ZHANG Tian-zhen，ZHANG Qing-quan，WANG Qiang, CHEN Xiu-mei ，. The clinical significance of acoustic rhinometry in nasal septum perforation[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(5): 56-.

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