Objective To investigate the clinical efficacy and safety of simultaneous nasal septoplasty under nasal endoscopy for intractable nasal bleeding complicated with nasal septum deviation.
Methods A total of 126 patients with intractable nasal bleeding complicated with nasal septum deviation were selected and randomly divided into an observation group and a control group, with 63 cases in each group.The observation group underwent simultaneous nasal septoplasty under nasal endoscopy, while the control group received nasal endoscopic radiofrequency exploration hemostasis surgery.The operation time, clinical surgical efficacy, complications and recurrence between the two groups, as well as nasal VAS score and nasal resistance at 1 week, 1 month, and 6 months after surgery were compared.
Results The operation time in the observation group was longer than that in the control group (P < 0.05).The clinical surgical efficacy in the observation group was significantly better than that in the control group (P < 0.01).The VAS score and nasal resistance in the observation group were lower than those in the control group at 1 month and 6 months after surgery (P < 0.05 to P < 0.01).There was no statistically significant difference in postoperative complications of nasal septum disease between the two groups (P > 0.05).The incidence of postoperative recurrence and nasal adhesions in the observation group was lower than that in the control group (P < 0.05).
Conclusions For the treatment of intractable nasal bleeding complicated with nasal septum deviation, simultaneous nasal septoplasty under nasal endoscopy may prolong the operation time, but it can significantly improve clinical efficacy, improve nasal symptoms, and reduce postoperative recurrence of nasal bleeding.
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