多层螺旋CT曲面重组联合鼻内镜治疗鼻骨骨折合并畸形的疗效

Clinical effect of MSCT combined with nasal endoscopy in treatment of nasal bone fracture with malformation

摘要:

目的 探讨多层螺旋CT（MSCT）曲面重组联合鼻内镜治疗鼻骨骨折合并畸形的临床疗效。方法 将该院2019年1月－2021年1月收治的87例鼻骨骨折合并畸形的患者纳入研究，按照随机数表法分为联合组（43例）和对照组（44例）。联合组实施MSCT曲面重组联合鼻内镜治疗，对照组实施传统手术治疗。分析两组临床疗效、手术前后鼻外形、鼻通气功能和嗅觉障碍评分、手术前后鼻腔最小横截面积和鼻腔容积、术后并发症发生情况等方面的差异。结果 联合组治疗总体有效率高于对照组，差异有统计学意义（P < 0.05）。联合组术后鼻外形和嗅觉障碍评分低于对照组，鼻总呼气量高于对照组，差异均有统计学意义（P < 0.05）。联合组术后鼻腔最小横截面积和鼻腔容积大于对照组，差异均有统计学意义（P < 0.05）。联合组术后并发症总发生率低于对照组，差异有统计学意义（P < 0.05）。结论 MSCT曲面重组联合鼻内镜治疗鼻骨骨折合并畸形的临床疗效较好，可明显改善患者的鼻腔通气功能，有利于降低术后并发症发生风险，值得临床推广应用。

Abstract:

Objective To study and analyze the clinical efficacy of multislice spiral computed tomography (MSCT) combined with nasal endoscopy in treatment of nasal bone fracture with malformation.Methods 87 patients with nasal bone fracture combined with malformation from January 2019 to January 2021 were included in the study and divided into a combined group of 43 patients and a control group of 44 patients according to the random number table method. The control group was treated with conventional surgery, while the combined group was treated with MSCT surface reconstruction combined with nasal endoscopy. The clinical efficacy, nasal appearance, nasal ventilation function and olfaction disorder score before and after surgery, minimum nasal cross-sectional area, nasal volume before and after surgery, and postoperative complications were analyzed.Results The overall effective rate of the combined group was higher than that of the control group, the difference was statistically significant (P < 0.05). Postoperative nasal appearance and olfactory disorder scores in combination group were lower than those in control group, while total nasal expiratory volume was higher than that in control group, the difference were statistically significant (all P < 0.05). The minimum nasal cross-sectional area and nasal volume of the combined group were larger than those of the control group, the difference were statistically significant (all P < 0.05). The total incidence of postoperative complications in the combined group was lower than that in the control group (P < 0.05).Conclusion MSCT combined with nasal endoscopy in the treatment of nasal bone fracture with malformation has a significant clinical effect, can significantly improve the nasal ventilation function of patients, and is beneficial to reduce the risk of postoperative complications. It is worthy of clinical application.