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鼻声反射测量法(acousticrhinometry,AR)是一种客观测量鼻腔几何形态、截面积及容积的新方法。36例鼻中隔偏曲患者接受AR检查并与21名正常人作比较,均为高加索人种;18例患者作了鼻中隔纠正术前与术后的对比。结果显示鼻腔最狭窄面积(MCSA)位于鼻腔前部,与鼻气道阻力(VAR)主要产生部位相吻合;术后MCSA增加伴NAR降低,提示MCSA能较好地反映鼻腔通气功能,但鼻腔容积并不是评价鼻腔通气功能的敏感指标。由于鼻气流感觉与NAR非同一概念,在解释AR和前鼻测压法检查结果及与主观症状关系时应谨慎,手术适应证的选择及疗效的评价应综合判断。
Acoustic rhinometry (AR) is a new method to objectively measure nasal geometry, cross-sectional area and volume. Thirty-six patients with nasal septal deviation underwent AR and compared with 21 normal controls, all of whom were Caucasians. Eighteen patients underwent nasal septum corrections for preoperative and postoperative contrast. The results showed that the most narrow area of the nasal cavity (MCSA) was located in the anterior nasal cavity, which was consistent with the main site of nasal airway resistance (VAR). The increase of MCSA and the decrease of NAR postoperatively suggested that MCSA could better reflect nasal ventilation, Not a sensitive indicator of nasal ventilation. Because nasal airflow is not the same concept as NAR, caution should be exercised when interpreting the results of AR and anterior nasal manometry and the relationship with subjective symptoms. The selection of indications for surgery and the assessment of efficacy should be judged synthetically.