鼻内镜下112例鼻中隔穿孔修补术的疗效分析

Analysis of therapeutic effect of endoscopic septal perforation repair in 112 patients

摘要:

目的通过对112例手术修补鼻中隔穿孔后患者恢复情况进行回顾分析，总结出最佳的手术修补方案。方法回顾性分析2003年1月—2023年7月在联勤保障部队第九四〇医院住院确诊为鼻中隔穿孔并行手术治疗的112例患者的资料，术后至少随访3个月。比较患者手术前后主观症状评分和鼻内镜下客观体征评分，并将两种手术方法在不同穿孔面积中进行比较。结果 112例患者经鼻内镜下鼻中隔穿孔修补术，21例患者复查发现再次穿孔或残留小穿孔，9例患者行再次手术，1例患者行3次手术，4例患者因缺乏手术意愿未再行手术治疗，7例患者术后失访，疗效不确切，其余患者均达一期愈合。手术前后主观症状评分及客观体征评分比较差异具有统计学意义(P＜0.05)。结论应依据鼻中隔穿孔大小及部位，选取最优的手术方式。

Abstract:

Objective To summarize the optimal surgical repair protocol through a retrospective analysis of the recovery of 112 patients with endoscopic repair of nasal septum perforation. Methods A retrospective analysis was conducted on the data of 112 patients diagnosed with nasal septum perforation and undergoing surgical treatment in the 940th hospital of the joint logistic support force from January 2003 to July 2023. The patients were followed up for at least 3 months postoperatively. Comparisons of preoperative and postoperative subjective symptom scores and Objective nasal endoscopic sign scores were made and the application of two surgical approaches in perforations of different sizes was compared. Results Endoscopic septal perforation repair was performed in all the 112 patients. Follow-up revealed re-perforation or residual small perforation in 21 patients. Nine of the 21 patients underwent reoperation, one underwent three operations, four patients did not undergo reoperation due to lack of surgical willingness, seven patients were lost to follow-up after the operation, and the therapeutic effect was not definite. The remaining patients all achieved primary healing. There were statistical differences between the preoperative and postoperative subjective symptom scores and between the preoperative and postoperative Objective sign scores (P<0.05).Conclusion The optimal surgical method should be selected based on the size and location of the nasal septal perforation.