可吸收性止血绫在鼻内镜术后填塞中的疗效研究  

Research on effect of absorbable stanching satins in padding after nasal endoscopic sinus operation

作　　者：王智勇[1] 邓安春[2] 苏述平[3] 

机构地区：[1]重庆市合川区人民医院耳鼻咽喉头颈外科,401520 [2]第三军医大学新桥医院耳鼻咽喉科,重庆400037 [3]重庆医科大学附属儿童医院耳鼻咽喉头颈外科,400014

出　　处：《重庆医学》2016年第13期1779-1781,共3页Chongqing medicine

基　　金：重庆市合川区科委基金资助项目(合科hc-2013-01)

摘　　要：目的对不伴鼻中隔偏曲的慢性鼻-鼻窦炎(CRS)患者行功能性鼻窦内窥镜手术术后填塞材料进行研究。方法将在重庆市合川区人民医院行鼻内镜下治疗不伴鼻中隔偏曲CRS患者172例分为两组,观察组术后用可吸收性止血绫填塞,对照组术后用PVF膨胀海绵填塞。结果观察组中重度疼痛发生率为37.8%,低于对照组的74.1%,两组比较差异有统计学意义(P<0.01);观察组中度以上出血发生率为30.0%,低于对照组的85.4%,两组比较差异有统计学意义(P<0.01)。观察组病情未控制发生率为11.0%,对照组为12.3%,两组比较差异无统计学意义(P>0.05)。结论可吸收性止血绫价格适中,止血效果好,不良反应少,性价比高,是不伴鼻中隔偏曲慢性鼻窦炎患者术后的理想填塞材料。Objective To research the padding materials after functional nasal endoscope sinus surgery in the patients with chronic rhinosinusitis（CRS） without nasal septal deviation. Methods Totally 172 patients with CRS without nasal septal deviation in the Hechuan District People% Hospital were divided into the two groups. The observation group used the absorbable stanching satins after functional endoscopic sinus surgery. The PVF inflation sponge tamponade was applied in the control group. Results The severe pain rate in the observation group was 37.8% ,which was lower than 74.1% in the control group,and the difference between the two groups was statistically significant（P〈0.01） ;theoccurrence rate of moderate or more bleeding rate in the observation group was 30.0% ,which was lower than 85.4% in the control group,and the difference between the two groups was statistically significant（P〈0.01） ;The uncontrolled rate of disease condition in the observation group was 11 %, which was almost equiva- lent to 12.3 % in the control group,and the difference between the two groups had no statistical significance（P〉0.05）. Conclusion Absorbable stanching satins is affordable in moderate price,has better hemostatic effect, few adverse reactions and higher performance cost ratio,and is a ideal tamponade material after operation in the patients with CRS without nasal septal deviation.

关 键 词：鼻窦炎 内窥镜检查 可吸收性止血绫 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]