【摘要】：目的為了研究鼻內(nèi)窺鏡在鼻中隔手術(shù)的治療中的作用,對(duì)比傳統(tǒng)手術(shù)與鼻內(nèi)窺鏡輔助治療術(shù)對(duì)鼻中隔的治療效果。方法根據(jù)該院2012年1月—2016年6月所收治的98例鼻中隔手術(shù)患者的臨床治療資料,采用隨機(jī)分組方式將全部患者分為對(duì)照組和治療組,每組各有患者49例,其中對(duì)照組采用傳統(tǒng)治療手術(shù),治療組采用鼻內(nèi)窺鏡輔助治療術(shù),對(duì)比兩組患者的治療效果以及術(shù)后恢復(fù)情況。結(jié)果對(duì)照組治愈19例,治愈率38.78%;好轉(zhuǎn)21例,好轉(zhuǎn)率42.86%;無(wú)效9例,無(wú)效率18.37%;治療總有效率81.63%。術(shù)后并發(fā)癥7例,占比14.29%。治療組治愈34例,治愈率69.39%;好轉(zhuǎn)15例,好轉(zhuǎn)率30.61%;無(wú)效0例,無(wú)效率0.00%。術(shù)后并發(fā)癥0例,占比0.00%。對(duì)比兩組患者治療效果,治療組明顯優(yōu)于對(duì)照組,其結(jié)果差異有統(tǒng)計(jì)學(xué)意義(P0.05)。對(duì)比兩組患者術(shù)后并發(fā)癥發(fā)生情況,治療組明顯優(yōu)于對(duì)照組,其結(jié)果差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論與傳統(tǒng)治療手術(shù)由于視野限制,致使手術(shù)深度、手術(shù)視野、手術(shù)精準(zhǔn)度不能達(dá)到理想狀態(tài),進(jìn)而大大降低了手術(shù)的成功幾率,易造成鼻中隔糾正效果不好、鼻粘膜破壞程度較大、鼻中隔軟骨切開(kāi)程度不理想,尤其對(duì)于高位偏曲手術(shù)尤為困難,甚至?xí)䦟?dǎo)致鼻穿孔等情況的發(fā)生,而鼻內(nèi)窺鏡輔助的鼻中隔手術(shù)在術(shù)中能夠獲得良好的操作視野,從而大大提升了治療效果、降低了手術(shù)風(fēng)險(xiǎn)。
[Abstract]:Objective to study the role of nasal endoscopy in the treatment of nasal septum, and to compare the therapeutic effect of traditional surgery and nasal endoscopic auxiliary therapy on nasal septum. Methods according to the clinical treatment data of 98 patients undergoing nasal septum surgery from January 2012 to June 2016, all patients were randomly divided into control group (n = 49) and treatment group (n = 49). The control group was treated with traditional treatment and the treatment group was treated with nasal endoscope auxiliary therapy. The therapeutic effect and postoperative recovery of the two groups were compared. Results in the control group, 19 cases were cured, the cure rate was 38.78%, 21 cases were improved, the improvement rate was 42.86%, 9 cases were ineffective, the ineffective rate was 18.37%, and the total effective rate was 81.63%. Postoperative complications occurred in 7 cases (14.29%). In the treatment group, 34 cases were cured, the cure rate was 6939%, 15 cases were improved, the improvement rate was 30.61%, and the ineffective case was 0 cases, the ineffective rate was 0.00%. Postoperative complications occurred in 0 cases (0.00%). Compared with the treatment effect of the two groups, the treatment group was significantly better than the control group, and the difference was statistically significant (P 0.05). Compared with the two groups, the postoperative complications of the treatment group were significantly better than those of the control group, and the difference was statistically significant (P 0.05). Conclusion compared with the traditional treatment, the depth of the operation, the visual field of the operation and the accuracy of the operation can not reach the ideal state because of the limitation of the visual field, which greatly reduces the probability of success of the operation and easily leads to the poor correction effect of the nasal septum. The degree of destruction of nasal mucosa is large, and the degree of cartilage incision in nasal septum is not ideal, especially for high deviation surgery, which will even lead to nasal perforation and so on. The nasal septum surgery assisted by nasal endoscope can obtain a good visual field of operation, which greatly improves the therapeutic effect and reduces the risk of operation.
【作者單位】： 江蘇省南通市通州區(qū)人民醫(yī)院耳鼻咽喉科;
【分類號(hào)】：R765.9

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