鼻内镜下鼻中隔-歪鼻整形术后疗效评估方法的综合应用

摘要

目的:探讨鼻内镜下鼻中隔-歪鼻整形术后疗效的综合评估方法.方法:选择2006年12月～2011年12月入住我院整形科和耳鼻喉科需手术治疗的176例歪鼻并鼻中隔偏曲患者,应用VAS主观评估鼻外形满意度及鼻塞情况、鼻外形分度、鼻阻力测定、外鼻相关指标测量的方法对该组患者进行疗效评估.结果:176例患者术后鼻外形满意度为96.02％,100％患者鼻塞改善.从鼻外形分度来看,92.04％患者鼻外形恢复正常,100％的患者治疗有效.鼻阻力测定术后鼻腔0～ 5cm容积较术前明显增大；术后阻塞侧鼻腔的鼻气道阻力较术前也明显降低,差异具有统计学意义(P＜0.05).外鼻相关指标的测量,鼻长、鼻深术后较术前有所增加,鼻背坡长、鼻面角、鼻额角、鼻翼角术后较术前有所缩小,差异具有统计学意义(P＜0.05).结论:对于鼻内镜下鼻中隔-歪鼻整形术后疗效的评估,建议运用综合的评估方法,包括主观鼻外形满意度、鼻塞改善程度,鼻外形分度,鼻阻力测定,外鼻相关指标测量.%Objective To discuss the comprehensive evaluation methods of endoscopic nasal septum-nasal plastic surgery.Methods Select 176 cases of nasal and nasal septum deviation patients from 2006 December to 2011 December who in the Department of plastic surgery and Department of ENT in our hospital for operation treatment,to apply the VAS subjective assessment of nasal shape satisfaction and nasal congestion,nasal shape indexing,nasal resistance determination,external nasal index measuring to evaluate the operation effect.Results In the 176 cases,the satisfaction of postoperative nasal appearance was 96.02％,100％ patients with nasal obstruction improved.From the nasal shape indexing,92.04％ patients recovered to normal nasal shape,100％ patients are effective.Measurement of nasal resistance,postoperative nasal cavity volume (0～5cm NCV0 ～5) increased significantly than that before operation; postoperative obstruction of the nasal airway resistance (NAR) of the lateral nasal was smaller than before surgery.Measurement of relevant indicators of external nose,the length of nose and deep of nose after surgery has increased than before surgery,the length dorsal nasal slope,the angle of nose and face,the angle of nose and forehead,the angle of nosewing after surgery has narrowed than before surgery,the difference was statistically significant (P＜0.05).Conclusion The curative effect evaluation method,is proposed to evaluate the comprehensive approach,including the subjective satisfaction of patients with nasal shape,improve the degree of subjective nasal congestion,nasal shape indexing,nasal resistance determination,measurement indicators of external nose.