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鼻阻力测量法。四、功能性鼻中隔成形术的术前与术后评估。

Rhinomanometry. IV. A pre- and postoperative evaluation in functional septoplasty.

作者信息

Broms P, Jonson B, Malm L

出版信息

Acta Otolaryngol. 1982 Nov-Dec;94(5-6):523-9.

PMID:7180423
Abstract

One hundred patients, subjected to functional septoplasty, were examined pre- and postoperatively with anterior rhinomanometry, questionnaire and rhinoscopy. Nasal airway resistance was described as a resistance (R2) for clinical, and as an angle of the pressure-flow curve (v2) for statistical use. Before operation uni- or bilateral R2 after mucosal decongestion was abnormally high in 72 of the patients. Regression analysis showed that patients with a preoperative R2 greater than 4.5 cmH2O/(l/sec) in at least one cavity were improved after surgery, as shown by rhinomanometry. Patients with such postoperative improvement were significantly more often satisfied and free from nasal obstruction than patients with decreased nasal patency. It is concluded that rhinomanometry is an indispensable aid in the selection of patients for functional septoplasty and for assessing the results of operation.

摘要

对100例行功能性鼻中隔成形术的患者在术前和术后进行了前鼻测压、问卷调查和鼻镜检查。鼻气道阻力在临床上被描述为阻力(R2),在统计学上被描述为压力-流量曲线的角度(v2)。术前,72例患者在黏膜减充血后单侧或双侧R2异常高。回归分析表明,至少一个鼻腔术前R2大于4.5 cmH2O/(升/秒)的患者术后通过鼻测压显示有所改善。与鼻腔通畅度降低的患者相比,术后有这种改善的患者明显更常感到满意且无鼻塞。结论是,鼻测压在功能性鼻中隔成形术患者的选择和手术效果评估中是不可或缺的辅助手段。

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