本文選題：鼻中隔軟骨 + 體外成形　； 參考：《北京協和醫(yī)學院》2011年碩士論文

【摘要】：目的：研究應用鼻中隔軟骨體外成形術矯正嚴重歪鼻畸形的效果;測量術中取出的鼻中隔軟骨的大小。 方法：對26例歪鼻合并鼻中隔偏曲患者行歪鼻矯正,截骨整形術,同時行鼻中隔軟骨體外成形術。術中常規(guī)行鼻骨外側截骨,取出鼻中隔軟骨,將鼻中隔軟骨進行切除、切割等處理后植入原位并縫合固定,矯正歪鼻畸形和鼻中隔偏曲畸形。術中以游標卡尺測量鼻中隔軟骨的長、寬和厚度,置于標尺前拍照,以Digimizer ver.3.1.2.0軟件測量照片,計算鼻中隔軟骨的面積。 結果：26例患者中23例治愈,無鼻背塌陷和鼻中隔穿孔發(fā)生。術中取出的鼻中隔軟骨前后徑(平均值±標準差)27.69±3.22mm,上下徑26.76±4.63mm,最厚2.78±0.61mm,最薄0.80±0.61mm,面積548.94±123.07mm2。 結論：鼻中隔軟骨體外成形術用于矯止嚴重歪鼻畸形可以取得滿意效果,減少并發(fā)癥的發(fā)生。鼻中隔軟骨變異較大,術中取出的軟骨面積為548.94±123.07mm2。
[Abstract]:Objective: to study the effect of extracorporeal nasoplasty for correction of severe deformity of nasal septum and measure the size of nasal septal cartilage taken out during operation. Methods: 26 patients with deviation of nasal septum were treated with anasystrophy, osteotomy and extracorporeal surgery of nasal septum cartilage. The lateral nasal osteotomy was performed during the operation, the nasal septal cartilage was removed, the nasal septal cartilage was resected, cut, and fixed by suture and in situ, the deviation of the nasal septum and the deviation of the nasal septum were corrected. The length, width and thickness of nasal septal cartilage were measured with Vernier caliper during operation. The area of nasal septal cartilage was calculated by Digimizer ver.3.1.2.0 software. Results among 26 cases, 23 cases were cured without nasal dorsum collapse and nasal septum perforation. The anterior and posterior diameter of nasal septum cartilage was removed (mean 鹵standard deviation 27.69 鹵3.22mm, inferior diameter 26.76 鹵4.63mm, maximum thickness 2.78 鹵0.61mm, thinnest 0.80 鹵0.61mm, area 548.94 鹵123.07mm). Conclusion: extracorporeal repair of nasal septal cartilage can achieve satisfactory results and reduce complications. The variation of nasal septal cartilage was greater, the area of cartilage removed during operation was 548.94 鹵123.07mm ~ 2.
【學位授予單位】：北京協和醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R765

【參考文獻】

相關期刊論文 前10條

1 莫偉;;自體鼻中隔軟骨隆鼻術65例報告[J];廣西醫(yī)學;1993年01期

2 徐勝,朱發(fā)亮;鼻中隔偏曲的有關解剖學因素探討[J];解剖學雜志;1988年02期

3 薛雁山;鼻中隔偏曲軸位CT形態(tài)學的前瞻性研究[J];解剖學雜志;1999年04期

4 馮立人;王孟冬;孫寶賓;;鼻中隔鼻成形術與鼻中隔黏膜下切除術的比較[J];臨床耳鼻咽喉頭頸外科雜志;2007年22期

5 王盛;范飛;尤建軍;盧九星;陳長永;;半開放式駝峰鼻整形術[J];中國美容醫(yī)學;2008年12期

6 顏軍,李新梅,楊桂花;鼻中隔偏曲發(fā)生率的人群調查[J];新疆醫(yī)科大學學報;2000年02期

7 陶澤璋,張劍寧,楊強,肖伯奎,孔勇剛;鼻中隔偏曲兩側竇口鼻道復合體解剖變異的差異[J];中華耳鼻咽喉科雜志;2001年02期

8 王s罨，

本文編號：1842703