鼻内镜下鼻中隔软骨或筛骨修补鼻中隔穿孔

目的〓〖HTK〗探讨鼻内镜下应用鼻中隔软骨或筛骨修补鼻中隔穿孔的临床效果。〖HTW〗方法〓〖HTK〗22例鼻中隔穿孔中鼻中隔矫正术所致12例，外伤性穿孔2例，化学物质腐蚀性穿孔2例，激光、微波烧灼性穿孔3例，原因不明3例。鼻内镜下应用鼻中隔软骨或筛骨修补鼻中隔穿孔，形成骨性支架，术后用湿润烧烫伤膏MEBO涂抹创面，促进周边黏膜向穿孔处生长。〖HTW〗结果〓〖HTK〗患者均一次修复成功，穿孔处双侧骨质暴露区域被黏膜完全覆盖25～62d，随访2～3年无再次穿孔，均无手术并发症。 〖HTW〗结论〓〖HTK〗鼻内镜下应用鼻中隔软骨或筛骨修补鼻中隔穿孔安全、简便、有效。

Chondroseptum or ethmoid in repairing of nasal septum perforation under endoscopy

Objective〓〖WTBZ〗To evaluate the clinical effects of nasal endoscopic neoplasty in treatment of nasal septum perforation with chondroseptum or ethmoid. 〖WTHZ〗Methods〓〖WTBZ〗22 cases of nasal septum perforation, of which, 12 cases were induced by nasal septum surgery, 2 cases by trauma, 2 cases by chemical rusty, and 3 cases non-causal, were treated by nasal endoscopic neoplasty with chondroseptum or ethmoid. After the operations, MEBO was used to promote nearby tissues grow towards the perforations. 〖WTHZ〗Results〓〖WTBZ〗All cases were successfully repaired with the squamous epithelization from 25 to 62 days. Followed up from 2 to 3 years, no surgical complications happened. 〖WTHZ〗Conclusion〓〖WTBZ〗Nasal endoscopic neoplasty for nasal septum perforation with chondroseptum or ethmoid is safe, handy and effective.