[1]孙朝晖,易新林△,曹君兰,等.鼻中隔闭合复位术联合鼻骨复位术治疗鼻骨骨折合并鼻中隔骨折31例[J].中国中医骨伤科杂志,2025,33(12):88-91.[doi:10.20085/j.cnki.issn1005-0205.251216]
　SUN Zhaohui,YI Xinlin,CAO Junlan,et al.31 Cases of Combined Nasal Septum Closed Reduction and Nasal Bone Reduction for Nasal Bone Fracture with Septal Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(12):88-91.[doi:10.20085/j.cnki.issn1005-0205.251216]
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鼻中隔闭合复位术联合鼻骨复位术治疗鼻骨骨折合并鼻中隔骨折31例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年12期
页码:
88-91
栏目:
临床报道
出版日期:
2025-12-15

文章信息/Info

Title:
31 Cases of Combined Nasal Septum Closed Reduction and Nasal Bone Reduction for Nasal Bone Fracture with Septal Fracture
文章编号:
1005-0205(2025)12-0088-04
作者:
孙朝晖1; 易新林2△; 曹君兰1; 王平平2; 朱文渊3; 易瑾瑶4
1湖北中医药大学中医学院(武汉,430060)
2湖北中医药大学附属医院
3武汉市洪山区洪山街社区卫生服务中心
4湖北医药学院
Author(s):
SUN Zhaohui1; YI Xinlin2△; CAO Junlan1; WANG Pingping2; ZHU Wenyuan3; YI Jinyao4
1School of Traditional Chinese Medicine,Hubei University of Chinese Medicine,Wuhan 430060,China; 2Affiliated Hospital of Hubei University of Chinese Medicine,Wuhan 430061,China; 3Hongshan Street Community Health Service Center,Hongshan District,Wuhan 430070,China; 4Hubei University of Medicine,Shiyan 442000,Hubei China.
关键词:
鼻骨骨折;  鼻中隔闭合复位术;  鼻骨骨折复位术;  鼻中隔开放复位术;  鼻中隔骨折
Keywords:
nasal bone fracture;  nasal septum closed reduction;  nasal bone fracture reduction;  nasal septum open reduction;  nasal septum fracture
分类号:
R765.9
DOI:
10.20085/j.cnki.issn1005-0205.251216
文献标志码:
B
摘要:
目的:比较不同治疗方式对鼻骨骨折合并鼻中隔骨折的疗效,为临床提供更加优质的治疗方案和理论依据。方法:收集2019年1月至2024年10月收治的鼻骨骨折合并鼻中隔骨折的患者,分为两组。甲组(26例)行鼻骨复位及鼻中隔开放复位术,乙组(31例)行鼻骨复位及鼻中隔闭合复位术。记录两组患者术前、术后3个月鼻塞症状评分及UPSIT评分、并发症,比较其差异。结果:两组患者鼻塞症状评分及UPSIT评分差异无统计学意义(P>0.05),甲组患者术后48 h出现鼻中隔血肿1例,及时予以鼻中隔血肿清理术; 出院后2周复诊,甲组患者鼻中隔穿孔1例(3.85%),鼻腔粘连2例(7.69%),乙组患者鼻中隔穿孔0例(0%),鼻腔粘连1例(3.23%)。结论:鼻骨骨折合并鼻中隔骨折的患者,鼻骨骨折复位术联合鼻中隔闭合复位术疗效与鼻骨骨折复位术联合鼻中隔开放复位术相似,且并发症较少,手术创伤小,易于操作,推荐临床选用。
Abstract:
Objective:To compare the efficacy of different surgical interventions for nasal bone fractures combined with septal fractures,thereby providing an optimized treatment strategy and theoretical foundation for clinical practice.Methods:A cohort of patients diagnosed with nasal bone fractures accompanied by septal fractures from January 2019 to October 2024,was retrospectively reviewed.The patients were allocated into two groups:Group A(n=26)underwent nasal bone reduction combined with open septal reduction,whereas Group B(n=31)received nasal bone reduction combined with closed septal reduction.Parameters including nasal obstruction symptom scores,University of Pennsylvania Smell Identification Test(UPSIT)scores,and the incidence of complications were recorded preoperatively and at 3 months postoperatively.The differences between the two groups were statistically analyzed.Results:No statistically significant differences were found in the nasal obstruction symptom scores or UPSIT scores between the two groups(P>0.05).In Group A,one case developed a septal hematoma within 48 h post-surgery,which was promptly treated with hematoma evacuation.At the 2-week follow-up after discharge,septal perforation was observed in one case(3.85%)and nasal adhesion in two cases(7.69%)in Group A.In contrast,Group B exhibited no cases of septal perforation and one case(3.23%)of nasal adhesion.Conclusion:For patients presenting with nasal bone fractures combined with septal fractures,closed septal reduction in conjunction with nasal bone reduction demonstrates comparable efficacy to open septal reduction.Furthermore,the closed reduction technique is associated with a lower incidence of complications,minimized surgical trauma,and greater procedural simplicity,rendering it a recommended approach for clinical application.

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(收稿日期:2025-04-26)

备注/Memo

备注/Memo:
△通信作者 E-mail:2080851509@qq.com
更新日期/Last Update: 2025-12-15