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目的探讨下鼻甲带蒂粘膜瓣贯穿缝合修补治疗鼻中隔穿孔的疗效。方法回顾分析我科自2003年2月至2007年3月采用下鼻甲带蒂粘膜瓣修补鼻中隔对位性穿孔21例。结果下鼻甲粘膜碎7~10 d,颜色由灰白变淡红,2周左右颜色接近周围粘膜,7 d拆除中隔缝线,2~3周切断蒂部,局部压迫止血,全部患者无手术并发症。3周左右患者治愈出院,随诊6个月~2年中隔无再次穿孔。结论术中采用贯穿缝合下鼻甲粘膜瓣修材中隔穿孔具有:取材方便,取材大小易于掌握;以穿孔部位设置前后蒂粘膜瓣,更利于粘膜瓣的血供;粘膜瓣拉向对侧鼻腔缝合,为缝合提供更清的视野;贯穿缝合,使粘膜瓣固定牢靠,成功率高。
Objective To investigate the efficacy of inferior turbinate pedunculated mucosal flap penetrating suture repair for the treatment of nasal septal perforation. Methods A retrospective analysis of our department from February 2003 to March 2007 with the inferior turbinate pedunculated mucosal flap repair nasal septal perforation in 21 cases. Results The inferior turbinate mucosa was broken for 7-10 days. The color changed from gray to pale red, and the color was close to the surrounding mucosa in about 2 weeks. The septal suture was removed in 7 days, the pedicle was cut off in 2 to 3 weeks, local compression was stopped and all the patients had no surgical complications disease. About 3 weeks patients were cured, followed up for 6 months to 2 years no recurrence perforation. Conclusions Intraoperative perforation of septal perforation through the septal inferior turbinate mucosal flap is easy to take and the size of the material is easy to grasp. The perforation of the anterior and posterior pedicle mucosal flap is more conducive to the blood supply of the mucosal flap. The mucosal flap pulls to the contralateral nasal suture , To provide a more clear view of the suture; Through the suture, the mucosal flap fixation, high success rate.