负压引流在内镜下鼻中隔偏曲矫正术后的应用研究  

Application of negative pressure drainage on nasal septum reconstructomy by endoscopy

作　　者：江雪[1] 冯丽春[1] 代保强[1] 李立萍[1] 

机构地区：[1]沧州市中心医院耳鼻喉科,河北沧州061001

出　　处：《局解手术学杂志》2016年第6期456-459,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：沧州市科技计划项目(1213038ZD)

摘　　要：目的分析内镜下鼻中隔偏曲矫正术后应用负压引流对并发症及预后的影响。方法选择2014年5月至2015年3月在我院就诊的鼻中隔偏曲患者80例,将其随机分为观察组和对照组。所有患者均在内镜下行鼻中隔偏曲矫正术,观察组患者在术后应用负压引流技术,对照组患者则在术后进行鼻腔填塞处理;观察2组患者术后12 h和24 h的主观症状、病情程度及并发症的情况,在术后1周观察并分析其临床疗效。结果术后24 h,观察组的主观症状明显的优于对照组,组间比较差异具有统计学意义(P<0.05)。术后观察组的病情程度与对照组比较显著改善,即鼻黏膜水肿0级的比为40%,高于对照组的10%,差异具有统计学意义(P<0.05)。术后1周观察2组的疗效,观察组的总有效率为97.50%,对照组的总有效率为80%,组间比较差异具有统计学意义(P<0.05)。术后观察组并发症的发生率为2.50%,低于对照组的20%,差异具有统计学意义(P<0.05)。结论在内镜下鼻中隔偏曲矫正术后应用负压引流,可有效缓解患者的痛苦,减少并发症的发生,且预后效果较好。Objective To study the application of negative pressure drainage on nasal septum reconstructomy by endoscopy.Methods Totally 80 patientswith nasal septum deviation in our hospital from May 2014 to March 2015 were randomly divided into the observation group and the control group.All patients were given nasal septum reconstructomy by endoscopy,and patients of the observation group were given negative pressure drainage after surgery while the patients in control group were given traditional nasal cavity filling postoperatively.Observed the subjective symptoms,degree of disease and complications of patients 12 hours and 24 hours after surgery.And the clinical curative effect of the two groups were compared and analyzed 1 week after the surgery.Results The subjective symptoms of the observation group was obvi-ously better than the control group 24 hours after the surgery with statistically significant difference （P 〈0.05）.And the degree of disease in observation group had significantly improved,and the nasal mucosa edema ratio of level 0 was 40%,which was significantly higher than 10% in the control group （P 〈0.05）.The total effective rate was 97.50% in the observation group 1 week after surgery and it was 80% in the control group,and there were significant difference between the two groups （P 〈0.05）.The incidence of complications in the observation group was 2.50%,which was significantly less than 20% in the control group （P 〈0.05）.Conclusion The application of negative pres-sure drainage on nasal septum reconstructomy by endoscopy could effectively relieve the pain of patients and reduce complications,and its prognosis effect is better.

关 键 词：鼻中隔偏曲 负压引流 鼻腔填塞 

分 类 号：R765.3[医药卫生—耳鼻咽喉科]