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鼻中隔成形术和/或鼻中隔黏膜下切除术?5年鼻中隔手术经验。

Septoplasty and/or submucous resection? 5 years nasal septum operations.

作者信息

Fjermedal O, Saunte C, Pedersen S

机构信息

Department of Otorhinolaryngology, University of Tromso, Norway.

出版信息

J Laryngol Otol. 1988 Sep;102(9):796-8. doi: 10.1017/s0022215100106486.

DOI:10.1017/s0022215100106486
PMID:3171372
Abstract

Information obtained from the case-records and completed questionnaires from 478 patients operated in the 5-year-period 1980 through 1984 with either septoplasty or submucous resection (SMR), has been analysed on an average 31 months after surgery. Two hundred (42 per cent) underwent SMR and 278 (58 per cent) septoplasty. Twenty per cent presented for a clinical follow-up examination. Of the 478 patients, 63 per cent were satisfied. More patients were satisfied with the functional results after septoplasty, which also resulted in fewer and smaller perforations than SMR. Septoplasty ought to replace the latter as the routine procedure. 10 per cent had troublesome crusting independent of the technique used. Change in the external shape of the nose is a minor problem for the patients, and was not regarded as an indication for re-operation. Patients with allergic rhinitis may undergo septal surgery on general lines.

摘要

从1980年至1984年这5年间接受鼻中隔成形术或黏膜下切除术(SMR)的478例患者的病例记录和完成的问卷中获取的信息,在术后平均31个月进行了分析。200例(42%)接受了SMR,278例(58%)接受了鼻中隔成形术。20%的患者前来进行临床随访检查。在478例患者中,63%表示满意。与SMR相比,更多患者对鼻中隔成形术后的功能结果感到满意,而且鼻中隔成形术导致的穿孔更少、更小。鼻中隔成形术应该取代后者成为常规手术。10%的患者存在令人烦恼的结痂,与所采用的技术无关。鼻子外形的改变对患者来说是一个小问题,并不被视为再次手术的指征。患有过敏性鼻炎的患者一般可以接受鼻中隔手术。

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J Laryngol Otol. 1988 Sep;102(9):796-8. doi: 10.1017/s0022215100106486.
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