【摘要】 目的探讨鼻内镜下鼻骨骨折伴外伤性鼻中隔偏曲同期手术治疗的可行性。方法将26例鼻骨骨折并外伤性鼻中隔偏曲患者随机分为2组,对照组给予改良鼻中隔黏膜下矫正术,观察组采取鼻中隔成形术,对比2组的临床指标、临床疗效及生活质量变化。结果观察组患者的生活质量显著优于对照组(P均<0.05),且总有效率显著高于对照组(P<0.05)。结论鼻骨骨折伴有外伤性鼻中隔偏曲时,伤后早期可行同期手术,但鼻中隔矫正需采取成形术;若采取改良鼻中隔黏膜下矫正术,可能因操作不精细发生并发症。更多还原

【Abstract】 Objective It is to approach the feasibility of simultaneous surgical treatment in nasal bone fracture and traumatic deflection of nasal septum under endoscopic.Methods 26 patients with nasal bone fracture and traumatic deflection of nasal septum were randomly divided into two groups,the patients were treated by modified nasal septum correction in control group and septoplasty in observation group.Clinical index,clinical efficacy and quality of life changes of the two groups were observed and compared.Results In observation group,the quality of life was better than that of control group(P<0.05),and the total effective rate was higher than that of control group(P<0.05).Conclusion For nasal bone fracture associated with traumatic deflection of nasal septum,simultaneous surgical treatment is feasible in early period after injury,but plasty is requisite for nasal septum correction.While take the modified nasal septum correction,the complications will be happened because do not pay attention to fine operation.更多还原