摘要
目的 介绍切割吸引器和CO2激光辅助的鼻中隔成形术，在局限性鼻中隔偏曲治疗中的应用及其疗效。方法 30例局限性鼻中隔偏曲患者施行鼻内镜下鼻中隔成形术，其中使用切割吸引器18例（切割吸引器组），CO2激光辅助者12例（CO2激光组）。所有患者术前和术后3月，分别进行视觉模拟评分表评分（VAS评分）和声反射鼻测量计（AR）检查狭窄侧鼻腔最小横截面积，以观察评定手术疗效。结果 两组患者术前和术后3月的VAS评分和AR最小横截面积比较，均有显著差异（P〈0．01），而两组间比较无显著差异（P〉0．05）。平均随访3～6月，所有患者均无鼻中隔穿孔、血肿、感染等并发症发生。结论 切割吸引器和CO2激光辅助的鼻中隔成形术治疗局限性鼻中隔偏曲，是微创、安全和有效的。
Objective To compare the outcomes of powered-assisted septoplasty with CO2 laser-assisted septoplasty. Methods Thitry patients with limited deviation of nasal septum were analyzed retrospectively. Among 30 patients, 18 underwent powered-assisted septoplasty and the rest underwent CO2 laser-assisted septoplasty. The surgical results were assessed by the visual analogue scale （VSA） and acoustic rbinometry. Results VSA scores significantly im- proved in both groups after surgery cavity postoperatively （ P 〈 0.01 ）. （P 〈0.01 ）. There was increase Conclusion Powered-assisted have the advantages of less invasion, safety and effectiency. Key words： endoscope; septoplasty; microdebrider; laser in the minimal cross-sectional area in the nasal septoplasty and CO2 laser-assisted septoplasty
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2006年第1期93-95,共3页
Journal of Shanghai Jiao tong University:Medical Science
