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| Clinical Analysis of Nasal Septal Perforation Repair under Nasal Endoscope for Nasal Septal Perforation |
| WANG Chang, LIANG Xiaojun |
| Xinqiao Hospital of PLA Army Medical University, Chongqing 400037, China |
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Abstract Objective: To analyze the clinical effect of nasal endoscopic perforation repair on patients with nasal septum perforation. Methods: 60 patients with nasal septum perforation admitted to our hospital from May 2015 to May 2017 were randomly divided into control group (n = 30) and observation group (n = 30) according to the random number table method. Thirty patients in the control group were treated by conventional repair surgery. Thirty patients in the observation group were treated with endoscopic nasal septal mucosal flap repair. The clinical effects of the two groups were compared. Results: The success rate of repair in the observation group was 93.33% (28/30), while that in the control group was 73.33% (22/30), with significant difference (χ2= 4.320, P <0.05) The patients' operation time, intraoperative blood loss, postoperative mucosal repair time and mucosal injury range were (46.18 ± 8.42) min, [(12.69 ± 2.54) mL], [(29.35 ± 4.72) 20.38 ± 5.26) mm2]. The patients in the observation group had a significant reduction of operation time, intraoperative blood loss, postoperative mucosal repair time and the range of mucosa damage [(25.46 ± 5.09) min], [(3.87 ± 1.17) mL] 18.68 ± 3.54) d] and [(10.64 ± 4.02) mm2] respectively. There were significant differences in the above indexes between the two groups (t = 11.535,17.275,9.905,8.058;P <0.05) The incidence of postoperative complications was significantly lower than that of the control group, and the I-phase healing rate in the observation group was significantly higher than that in the control group. The difference between the two groups was statistically significant (P <0.05). Conclusion: Nasal septal perforation in patients undergoing endoscopic nasal septal perforation repair surgery can effectively shorten the operation time and reduce intraoperative bleeding, the patient's healing effect is good, the incidence of complications is lower, higher safety, with higher The clinical promotion value.
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2018, Vol. 24 
