RHINOMANOMETRY .4. A PREOPERATIVE AND POSTOPERATIVE EVALUATION IN FUNCTIONAL SEPTOPLASTY

RHINOMANOMETRY .4. A PREOPERATIVE AND POSTOPERATIVE EVALUATION IN FUNCTIONAL SEPTOPLASTY
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DOI:
10.3109/00016488209128943
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发表时间:
1982-01-01
影响因子:
1.4
通讯作者:
MALM, L
MALM, L
中科院分区:
医学4区
文献类型:
--
作者:
BROMS, P;JONSON, B;MALM, L

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100例接受功能性鼻中隔成形术的患者在术前和术后进行前鼻测量、问卷调查和鼻镜检查。鼻气道阻力在临床上用阻力(R2)表示,在统计上用压力-流量曲线的角度(v2)表示。72例患者术前单侧或双侧粘膜去充血后R2异常高。回归分析显示,术前至少1个腔内R2 > 4.5 cm H2O/(l/s)的患者术后鼻压测量结果均有改善。术后改善的患者比鼻通畅度降低的患者更容易满意且无鼻塞。鼻压测量是选择功能性鼻中隔成形术患者和评估手术结果不可或缺的辅助手段。
Patients (100) subjected to functional septoplasty were examined pre- and postoperatively with anterior rhinomanometry, questionnaire and rhinoscopy. Nasal airway resistance was described as a resistance (R2) for clinical, and as an angle of the pressure-flow curve (v2) for statistical use. Before operation uni- or bilateral R2 after mucosal decongestion was abnormally high in 72 of the patients. Regression analysis showed that patients with a preoperative R2 > 4.5 cm H2O/(l/s) in at least 1 cavity were improved after surgery, as shown by rhinomanometry. Patients with such postoperative improvement were significantly more often satisfied and free from nasal obstruction than patients with decreased nasal patency. Rhinomanometry is an indispensable aid in the selection of patients for functional septoplasty and for assessing the results of operation.