硅胶通气管在鼻内镜下行鼻中隔偏曲矫正手术填塞中的应用  

Application of silicone ventilation tube in nasal endoscopic corrective operation packing for deviation of nasal septum

作　　者：肖富新[1] 刘芊[1] 阮奕劲[1] 李大知 

机构地区：[1]广东省中山市陈星海医院耳鼻咽喉科,528415

出　　处：《中国现代药物应用》2016年第20期27-28,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨应用硅胶通气管解决鼻内镜下行鼻中隔矫正手术填塞中的通气问题。方法对326例鼻中隔偏曲患者在鼻内镜下行鼻中隔矫正术后,两侧鼻腔放置长度合适的硅胶通气管,同时应用可溶性止血海棉适当填塞,观察效果。结果 326例鼻中隔偏曲术后患者的鼻腔通气情况明显得到改善,同时患者的头部胀痛不适、溢泪、张口呼吸、吞咽不便、睡眠差,甚至耳鸣、耳闷、听力下降也较传统的填塞减轻,未出现其他并发症。结论鼻中隔矫正手术中两侧鼻腔底部放置规格适当的硅胶通气管和可溶性止血海棉,可有效解决手术后的鼻腔通气问题,而且大大减轻了患者的术后反应。Objective To investigate application of silicone ventilation tube in nasal endoscopic corrective operation packing for deviation of nasal septum. Methods After nasal endoscopic corrective operation, 326 patients with deviation of nasal septum received suitable silicone ventilation tube in both nasal cavity, along with soluble hemostatic sponge as packing. Their effects were observed. Results Nasal airflow was obviously improved in 326 cases with deviation of nasal septum after operation, along with slighter head swelling pain, epiphora, mouth breathing, dysphagia, agrypnia, tinnitus, ear fullness and hearing loss than conventional packing measure. Therewere no other complications. Conclusion Implement of suitable silicone ventilation tube and soluble hemostatic sponge in nasal endoscopic corrective operation can provide effective resolution to nasal airflow, and remarkably relive postoperative reactions in patients.

关 键 词：硅胶通气管 鼻中隔偏曲 手术填塞 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]