Department of Otolaryngology Head and Neck Surgery, First Affiliated Hospital of Xiamen University; Xiamen Key Laboratory of Otolaryngology Head and Neck Surgery, Xiamen Fujian 361003, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021 Jan 28;46(1):69-74. doi: 10.11817/j.issn.1672-7347.2021.200237.
To compare the operation time, subjective and objective outcomes of septoplasty with three high-tension line resection and two high-tension line resection.
A prospective randomized controlled study was conducted to identify patients with septal deviation and symptomatic nasal obstruction. The patients were classified into a three high-tension line resection and senior physician group (Group A), a two high-tension line resection and senior physician group (Group B), a three high-tension line resection and junior physician group (Group C), a two high-tension line resection and junior physician group (Group D). In addition, according to whether there were the anterior deviation, some of patients were also divided into a three high-tension line resection and anterior deviation group (Group E) and a two high-tension line resection and anterior deviation group (Group F). The operation time was recorded. The patients completed the Nasal Obstruction Symptom Evaluation (NOSE) Scale (subjective symptom), nasal endoscopy (bodily sign) and rhinomanometry (objective examination) before and 6 months after septoplasty. The operation time and the efficacy were compared between three high-tension line resection operation and two high-tension line resection operation.
There was no significant difference in the operation time between the Group A and the Group B (=0.724, =0.799), but the operation time in the Group D was significant shorter than that in the Group C (=4.200, =0.017). There were no significant difference in the NOSE scale between the Group A and the Group B, the Group C and the Group D, the Group E and the Group F (=0.481, -0.147, 1.369, all >0.05). There was no significant difference in the nasal endoscopy scale between the Group A and Group B, the Group C and Group D, the Group E and the Group F (=0.806, -0.111, -0.536, all >0.05). There was no significant difference in rhinomanometry between the Group A and the Group B, the Group C and the Group D, the Group E and the Group F (=0.472, 1.180, -0.225, all >0.05)．.
The effect of septoplasty with two high-tension line resection is as good as septoplasty with three high-tension line resection. The septoplasty with two high-tension line resection is more suitable to junior physician because it is easier and the operation time is shorter.
比较鼻中隔成形术三种高位直线切除与两种高位直线切除的手术时间、主观和客观结果。
前瞻性随机对照研究确定鼻中隔偏曲伴症状性鼻塞患者。将患者分为三组高位直线切除和高年资医师组（A 组）、两组高位直线切除和高年资医师组（B 组）、三组高位直线切除和低年资医师组（C 组）、两组高位直线切除和低年资医师组（D 组）。此外，根据是否存在前鼻中隔偏曲，一些患者还分为三组高位直线切除和前鼻中隔偏曲组（E 组）和两组高位直线切除和前鼻中隔偏曲组（F 组）。记录手术时间。患者在鼻中隔成形术前和术后 6 个月完成鼻阻塞症状评估量表（NOSE）（主观症状）、鼻内镜检查（身体体征）和鼻阻力检查（客观检查）。比较三种高位直线切除手术与两种高位直线切除手术的手术时间和疗效。
A 组与 B 组的手术时间无显著差异（=0.724，=0.799），但 D 组的手术时间明显短于 C 组（=4.200，=0.017）。A 组与 B 组、C 组与 D 组、E 组与 F 组的 NOSE 量表无显著差异（=0.481，-0.147，1.369，均>0.05）。A 组与 B 组、C 组与 D 组、E 组与 F 组的鼻内镜评分无显著差异（=0.806，-0.111，-0.536，均>0.05）。A 组与 B 组、C 组与 D 组、E 组与 F 组的鼻阻力检查无显著差异（=0.472，1.180，-0.225，均>0.05）。
两种高位直线切除鼻中隔成形术的效果与三种高位直线切除鼻中隔成形术相同。两种高位直线切除鼻中隔成形术更适合低年资医师，因为操作更容易，手术时间更短。
