外伤性鼻骨骨折伴鼻中隔骨折同期手术治疗分析-东南大学学报医学版

外伤性鼻骨骨折伴鼻中隔骨折同期手术治疗分析

单位：南京明基医院耳鼻咽喉科, 江苏南京 210019

分类号：R765.9;R765.3

出版年·卷·期（页码）：2015·34·第一期（104-106）

摘要：

目的:探讨外伤性鼻骨骨折伴鼻中隔骨折治疗的手术方式及疗效。方法:对174例外伤性鼻骨骨折伴鼻中隔偏曲的患者在外伤后4~10 d内同期行经鼻内镜鼻中隔矫正加鼻骨骨折整复术,通过统计学分析鼻外形及鼻腔通气VAS评分(Visual Analogue Scale)总结手术效果。结果:所有患者均随访6个月以上,采用配对t检验对术前、术后患者鼻腔外形及通气情况VAS评分进行统计学分析,差异有统计学意义(P<0.001)。所有患者手术顺利,未发生重大手术并发症。结论:鼻内窥镜下鼻骨骨折整复术适用于治疗外伤性鼻骨骨折伴鼻中隔骨折,鼻内镜下视野清晰,手术便于操作,是有效安全的治疗方法。

Objective: To discuss the effect of endoscopic nasal septum plastic surgery and closed reduction peformed on the patients with nasal bone fracture complicated with nasal septum fracture. Methods: 174 cases received the sugery, and applied the VAS subjective assessment of nasal shape satisfaction and nasal congestion. The importance of undergoing surgery short term after trauma was evaluated by statistical analysis. Results: All cases were followed up over 6 moths. The nasal obstruction and appearance VAS score of pre-operation and post-operation were significantly different (P<0.001). All cases drived smoothly, postoperative major complications were not found. Conclusion: Endoscopic nasal septum plastic surgery and closed reduction is efficient to administer with clear view, and is safe, effective and reliable method for the treatment of traumatic nasal bone fracture combined with nasal septum fracture.

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