鼻内镜下不行鼻腔填塞的鼻中隔矫正术(附52例报告)  

No nasal packing in endoscopic surgery of nasal septum (report of 52 cases)

作　　者：张炳辉[1] 史余明[2] 阚轩[1] 刘鸣[1] 

机构地区：[1]哈尔滨医科大学附属第二医院耳鼻咽喉头颈外科,黑龙江哈尔滨150086 [2]黑龙江省医院耳鼻咽喉头颈外科,黑龙江哈尔滨150001

出　　处：《中国内镜杂志》2011年第5期499-500,503,共3页China Journal of Endoscopy

摘　　要：目的探讨鼻内镜下鼻中隔矫正术不行鼻腔填塞的技术方法。方法对52例鼻内镜下鼻中隔矫正手术,采用弧形切口,切除偏曲的软骨和骨部,彻底止血后,将双侧黏膜缝合封闭间隙,而不行鼻腔填塞。结果 51例术后12h出血量为5～25mL,平均15mL,1例单侧鼻腔出血约50mL,给予单侧鼻腔填塞止血。术后鼻腔通畅,均无反射性头痛,无溢泪,仅为轻度鼻腔水肿,对患者饮食、睡眠、血压均无明显影响。随访6个月～2年,鼻塞、头痛、出血症状均消失或缓解,无鼻腔狭窄和粘连。结论该方法简便易行,减轻了术后痛苦,治疗效果满意,值得临床推广使用。[Objective] To discuss technical method of endoscopic nasal septum corrective surgery without packing in nasal cavities. [Methods] Cartilage and bone were cut by vaulted incision for 52 cases with nasal septum deviation, and mucosal clearance was closed after thorough hemostasia by suture, but packing in nasal cavities wasn＇t adopted. [Results] Bleeding of 51 cases was 5~25 mL in 12 hours after surgery, average was 15 mL. Bleeding of one case was about 50 mL, so hemi-nasal cavity was stanch with packs. After surgery nasal cavity was free, there wasn＇t reflex headache and epiphora, nasal swelling was slight, the influence on diet, sleep, blood pressure was unconspicuous. Followed up from 6 mouths to 2 years, stuffy nose, headache, bleeding were disappeared or catabatic, the nasal cavities weren＇t narrow and adhesion. [Conclusions] This method is easy and satisfactory, sufferings are alleviated, so it is worth extending.

关 键 词：鼻内镜 鼻中隔偏曲 矫形手术 鼻腔填塞 

分 类 号：R765.31[医药卫生—耳鼻咽喉科]