鼻内镜下鼻中隔矫正术后鼻中隔缝合和鼻腔填塞疗效的对比研究  

Application of continuous sutures for nasal septum after septoplasty

作　　者：李大伟[1] 王玮[1] 林燕[1] 

机构地区：[1]大连市第三人民医院耳鼻咽喉头颈外科,辽宁大连116033

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第5期381-382,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析鼻中隔缝合在鼻中隔偏曲矫正术中的疗效和安全性。方法:将60例单纯鼻中隔偏曲患者分为缝合组和填塞组,每组30例。比较2组患者术后主观不适感的视觉模拟量表(VAS)评分均值,并比较术后鼻中隔血肿和鼻腔粘连等并发症的发生情况。结果:填塞组鼻塞、鼻部疼痛、头痛、流泪、耳鸣(耳闷)、吞咽困难和睡眠困难等指标的VAS评分明显大于缝合组,差异有统计学意义(P<0.05)。鼻中隔血肿等并发症的发生率2组差异无统计学意义(P>0.05)。结论:鼻中隔缝合相对鼻腔填塞优势较为明显,值得临床应用。Objective：To investigate the efficacy and safety of nasal septal suture in septoplasty.Method：Sixty patients who had undergone septoplasty were allocated into two groups：packing group and suturing group.Postoperative signs and symptoms（visual analogue scale）were compared between the two groups.Result：The patients of packing group experienced significantly more postoperative pain,epiphora,tinnitus,ear fullness,sleep disturbance and nasal congestion（P〈0.05）.No statistically significant difference between two groups in hemorrhage（P〉0.05）.Conclusion：Nasal septum continuous suture is a feasible method to replace nasal packing after septoplasty.

关 键 词：鼻中隔偏曲 鼻腔填塞 缝合技术 

分 类 号：R765.69[医药卫生—耳鼻咽喉科]