功能性鼻内镜鼻窦手术后鼻腔处理方法的改进  

Improvement of the treatment method of nasal cavity after functional endoscopic sinus surgery

作　　者：李秀国[1] 王秀云[1] 梁美庚[1] 

机构地区：[1]山东大学山东省立医院耳鼻喉科,山东济南250021

出　　处：《山东大学基础医学院学报》2004年第5期286-287,共2页Journal of Preclinical Medicine College of Shandong Medical University

摘　　要：目的 :探讨功能性鼻内镜鼻窦手术 (FESS)后鼻腔处理的新方法及临床应用效果。方法 :随机将因慢性鼻窦炎鼻息肉行FESS的 92例患者分为实验组和对照组 ,术毕两组均用凡士林纱条填塞鼻腔。实验组自术后第 1天起间断性鼻腔滴抗生素注射液 ,术后第 3至第 5天取出填塞物。对照组于术后 2 4～ 4 8h取出填塞物。比较两组患者在鼻腔填塞期间的头痛、鼻痛、咽部干燥感等主要临床症状以及抽取鼻腔填塞物后鼻出血 ,黏膜水肿充血或损伤状况。结果 :实验组上述指标的测定结果均优于对照组 ,两组差异有高度显著性(P<0 .0 1)。 结论 :FESS术中应用凡士林纱条填塞鼻腔后间断性鼻腔滴抗生素注射液可减轻鼻痛、头痛、咽部干燥感 ,减少鼻腔出血 ,黏膜水肿充血或损伤。Objective: To explore a new method and its clinical effect after functional endoscopic sinus surgery (FESS).Methods: 92 cases who received FESS because of chronic nasosinusitis and nasal polyp were divided into the experiment group and contrast group randomly, both groups adopted nasal packing with paraffin gauze in the surgery. However, the patient in experiment group was dripping antibiotic injection periodically since first day after the surgery and was taken out the tampon during three to five days after the surgery. The contrast guoup′s tampon was taken out in 24 to 48 hours after the surgery. The main clinical symptoms such as headache, nose aching, dry sense of pharyngeal when the nasal cavity was clogged and the nosebleed when the nasal tampon was taken out and nasal mucous oderma and congestion or the state of damaging were compared. Result: The mentioned index of the experiment group was superior to that of the contrast group and difference of two groups had statistical meaning(Conclusion: After FESS, dripping antibiotic injection periodically can alleviate the patients headache,nose aching,dry sense of pharyngeal, nose blood,mucous edema,hyperemic or injury.

关 键 词：内窥镜外科手术 鼻腔填塞 鼻腔滴液 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]