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评估鼻中隔偏曲及其手术对双侧鼻腔鼻黏膜纤毛清除功能的影响。

Evaluation of the effects of nasal septal deviation and its surgery on nasal mucociliary clearance in both nasal cavities.

作者信息

Ulusoy Bulent, Arbag Hamdi, Sari Oktay, Yöndemli Fuat

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Ozel Konya Hospital, Konya, Turkey.

出版信息

Am J Rhinol. 2007 Mar-Apr;21(2):180-3. doi: 10.2500/ajr.2007.21.2961.

DOI:10.2500/ajr.2007.21.2961
PMID:17424875
Abstract

BACKGROUND

In this study the effects of nasal septal deviation (NSD) and its surgery on nasal mucociliary clearance velocity (NMCV) in both nasal cavities were evaluated.

METHODS

This study included 20 patients with NSD and 20 healthy subjects as a control group who had no complaint related to the nose. NMCV was measured with rhinoscintigraphy using technetium-99m-macroaggregated albumin (Tc-99m-MAA).

RESULTS

Before the septal surgery, the NMCV of concave (10.24 +/- 3.96 mm/minute) and convex sides (10.78 +/- 3.53 mm/minute) of the patients were significantly lower than the control group (17.94 +/- 2.89 mm/minute). There is no statistically significant difference between the NMCV of the concave and convex sides. After septal surgery, the NMCVs of the concave (16.34 _ 4.40 mm/minute) and convex sides (17.21 +/- 3.43 mm/minute) were not significantly different from control groups (17.94 +/- 2.89 mm/minute). Postoperative NMCVs of the concave and convex sides was significantly better than preoperative NMCVs.

CONCLUSION

The results of this study showed that NSD significantly impaired NMCVs in both sides and that septoplasty significantly improved NMCVs in both sides.

摘要

背景

本研究评估鼻中隔偏曲(NSD)及其手术对双侧鼻腔黏膜纤毛清除速度(NMCV)的影响。

方法

本研究纳入20例鼻中隔偏曲患者和20名无鼻部相关主诉的健康受试者作为对照组。使用锝-99m-大聚合白蛋白(Tc-99m-MAA)通过鼻闪烁显像法测量NMCV。

结果

在鼻中隔手术前,患者凹侧(10.24±3.96毫米/分钟)和凸侧(10.78±3.53毫米/分钟)的NMCV显著低于对照组(17.94±2.89毫米/分钟)。凹侧和凸侧的NMCV之间无统计学显著差异。鼻中隔手术后,凹侧(16.34±4.40毫米/分钟)和凸侧(17.21±3.43毫米/分钟)的NMCV与对照组(17.94±2.89毫米/分钟)无显著差异。凹侧和凸侧的术后NMCV显著优于术前NMCV。

结论

本研究结果表明,鼻中隔偏曲显著损害双侧的NMCV,而鼻中隔成形术显著改善双侧的NMCV。

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