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目的探讨鼻内窥镜下手术治疗鼻中隔偏曲的效果及其相关因素。方法局部麻醉和浸润麻醉法对75例鼻中隔偏曲患者在鼻内窥镜下施行鼻中隔矫正术,其中71例并发对侧下鼻甲代偿性肥大者同时进行下鼻甲成形术。结果手术后3个月内鼻塞、鼻出血、流涕以及头痛症状完全消失在41.0%~65.8%范围,术后3~12个月痊愈54例(72.0%)、好转14例(18.7%)与无效7例(9.3%),总有效(痊愈+好转)率90.7%(68例)。未见一例并发症。结论鼻中隔矫正术与肥大下鼻甲成形术治疗鼻中隔偏曲疗效良好。
Objective To explore the effect of nasal endoscopic surgery on nasal septum deviation and its related factors. Methods Local anesthesia and infiltration anesthesia were performed on nasal septum in 75 patients with nasal septal deviation. Among them, 71 patients underwent simultaneous turbinate angioplasty with compensatory hypertrophy in the contralateral and inferior turbinate. Results The symptoms of nasal obstruction, nasal hemorrhage, runny nose and headache completely disappeared within 41.0% ~ 65.8% within 3 months after operation, 54 cases (72.0%) recovered from 3 to 12 months after operation, 14 cases (18.7%) improved Invalid 7 cases (9.3%), total effective (recovery + improvement) rate of 90.7% (68 cases). No case of complications. Conclusion Nasal septoplasty and hypertrophic inferior turbinate angioplasty are effective in treating nasal septum deviation.