| 周水勇,刘玉丽.一期鼻中隔矫正与鼻骨骨折整复术联合应用治疗鼻骨伴鼻中隔骨折的临床效果[J].中国烧伤创疡杂志,2020,(4):266~269. |
| DOI： |
| 中文关键词: 鼻中隔矫正 鼻骨骨折整复 鼻骨骨折 鼻中隔骨折 效果 |
| 英文关键词:Nasal septum correction Nasal bone fracture restitution Nasal bone fracture Nasal septum fracture Clinical efficacy |
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| 中文摘要: |
| 目的 对比分析一期鼻中隔矫正与鼻骨骨折整复术联合应用对鼻骨伴鼻中隔骨折的治疗效果? 方 法 选取 2015 年 1 月至 2018 年 12 月郑东诺亚一家医疗美容门诊部? 河南整形美容医院收治的 76 例鼻骨伴鼻中隔骨折患者作为研究对象, 并按照不同的治疗方法将其分为研究组 (38 例) 和对照组 (38 例), 其中研究组患 者予以一期鼻中隔矫正联合鼻骨骨折整复术治疗, 对照组患者单纯予以一期鼻骨骨折整复术治疗, 术后 12 个月 对比两组患者血肿? 出血? 鼻腔粘连及穿孔等并发症发生情况以及临床疗效? 结果 术后 12 个月, 研究组患者 中仅有 1 例出现鼻部血肿, 明显少于对照组患者中出现 2 例血肿? 1 例出血? 2 例鼻腔粘连? 1 例穿孔 (χ2=3.934, P=0.047); 研究组患者中临床疗效优 23 例? 良 13 例? 差 2 例, 明显优于对照组患者的优 14 例? 良 15 例? 差 9 例 (Z=-2.443, P= 0.015)? 结论 一期鼻中隔矫正与鼻骨骨折整复术联合应用既可矫正鼻中隔, 又可复位鼻骨, 且术后血肿? 出血? 鼻腔粘连及穿孔等并发症发生率较低, 疗效显著, 安全性较高, 对提高鼻骨伴鼻中隔骨折患者的预后具有重要意义? |
| 英文摘要: |
| Objective To compare and analyze the clinical efficacy of stage?one nasal septum correction combined with nasal bone fracture restitution in the treatment of nasal bone fracture in combination with nasal septum fracture. Meth? ods Seventy?six patients with nasal bone and nasal septum fracture, admitted to Noah’s Medical Beauty Salon, Zhengzhou People’s Hospital and Henan Plastic Surgery Hospital from January 2015 to December 2018, were selected as research sub? jects to be divided, based on their different treatment methods, into a study group (38 cases) and a control group (38 cases). The patients in the study group were treated with stage?one nasal septum correction combined with nasal bone fracture restitution whereas the patients in the control group were treated with simply stage?one nasal bone fracture restitution. After 12 months of treatment, the occurrence of complications, such as hematoma, bleeding, the adhesion of nasal cavity and perforation, and the clinical efficacy were compared between the two groups. Results 12 months postoperation, only one patient in the study group had nasal hematoma, which was significantly less than two patients with hematoma, one with hemorrhage, two with nasal cavity adhesion and one with perforation in the control group (χ2=3.934, P=0.047). In the study group, the clinical efficacy was observed excellent in 23 cases, good in 13 cases and poor in 2 cases, which were significantly better than that in the control group (Z=-2.443, P=0.015) with excellent in 14 cases, good in 15 cases and poor in 9 cases. Conclusion The combined application of stage-one nasal septum correction and nasal bone fracture restitution can correct nasal septum and achieve nasal bone reduction, moreover, the incidences of complications postoperation such as hematoma, hemorrhage, nasal cavity adhesion and perforation are relatively lower. The combined treatment protocol, with its significant clinical efficacy and high safety, is of great significance to improve the prognosis of patients with nasal bone and nasal septum fracture. |
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