FESS术后应用纳吸绵配合凡士林纱条填塞与膨胀海绵鼻腔填塞疗效对比  

The curative effect of Na absorption cotton and vaseline gauze tamponade compaied with Nasal cavity filling FESS surgery after operation by Inflation sponge

作　　者：周浩[1] 陈兵[1] 郑力维[1] 龚恒萃[1] 

机构地区：[1]四川省宜宾市第二人民医院耳鼻咽喉一头颈外科,四川宜宾644000

出　　处：《医药前沿》2015年第8期37-39,共3页Journal of Frontiers of Medicine

摘　　要：目的：观察纳吸绵（NasoPore8×2×1．5cm）配合凡士林纱条（6cm×30cm，河南亚都实业有限公司）和膨胀海绵（Merocel）在功能性鼻内窥镜（FESS）术后填塞的疗效对比。方法：将116例功能性鼻窦内窥镜术后患者分为纳吸绵＋凡士林组和膨胀海绵组。术后分别置入鼻腔纳吸绵＋凡士林纱条和膨胀海绵行填塞止血，观察两组患者术后疼痛率、出血率以及术腔恢复情况。结果：纳吸绵＋凡士林组疼痛率和出血率分别为81．03％和13．79％；膨胀海绵组则为77．59％和41．38％；在中鼻通粘连与筛窦内囊泡方面，纳吸绵＋凡士林组（15．52％）低于膨胀海绵组（32．76％）。结论：在FESS术中应用纳吸绵＋凡士林组填塞能更有效的减少术区出血，促进术腔黏膜上皮化，缩短住院时间，加用凡士林纱条弥补单纯使用纳吸绵填塞压力不足，渗血较厉害，通过这样的方式即达到有效止血、支撑术腔，促进术腔尽早上皮化，尤其减少使用过多纳吸绵或者其他止血材料，不经济等问题。使我们医务人员更容易有效的进行医患沟通，达到精简、效果好、痛苦时间短、病人恢复快的目的。从而减轻患者的痛苦，提高患者术后恢复质量，值得临床推广。Objective Na absorption cotton （NasoPore8 × 2 × 1.5 cm） with vaseline gauze strip and expansion sponge in functional to fill the curative effect of nasal endoscopic surgery.Methods Inclusion of 116 patients with functional endoscopic sinus surgery were divided into suction cotton ＋ vaseline group and expansion sponge. Postoperative nasal cavity were inserted, cotton ＋ vaseline gauze strip and expansion sponge tamponade hemostasis, observe two groups patients postoperative pain rate, cavity bleeding rate and recovery.Results Suction cotton ＋ vaseline group rate of pain and bleeding rate were 81.03% and 13.79% respectively; Inflation sponge group was 77.59% and 77.59%.Conclusions Applied in the FESS surgery, absorb cotton ＋ vaseline group, cotton stuffing the area can be more effective to reduce bleeding and promote cavity mucosal epithelium, shorten hospitalization time, worth clinical promotion.

关 键 词：FESS术 纳吸绵 膨胀海绵 鼻腔填塞 

分 类 号：R615[医药卫生—外科学]