自制鼻腔多功能导囊管在鼻内镜手术中的应用效果  

Application effect of self-made nasal multi-functional cystic duct in nasal endoscopic surgery

作　　者：杨文飞[1] 刘芳[1] 王英斌[1] 彭韶平[1] YANG Wen-fei;LIU Fang;WANG Ying-bin;PENG Shao-ping(Department of Otorhinolaryngology,Head and Neck Surgery,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院耳鼻咽喉头颈外科,江西赣州341000

出　　处：《中国当代医药》2019年第11期4-7,25,共5页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20155450)

摘　　要：目的比较功能性鼻内镜鼻窦手术(FESS)中使用一种自制鼻腔多功能导囊管与传统手术两种方法在出血量、手术时间、患者舒适度方面的效果差异。方法选取2014年2月～2018年2月在我院住院的58例慢性鼻窦炎伴鼻息肉患者,采用随机数字表法分为A组(30例)、B组(28例)。A组手术时采用自制鼻腔多功能导囊管持续低负压吸引,B组手术时使用常规吸引器间歇吸引。记录两组的手术出血量、手术用时,采用视觉量表法调查患者手术后的舒适度评分,包括鼻部症状、咽部症状、恶心与呕吐。结果两组患者的手术出血量比较,差异无统计学意义(P>0.05)。A组的手术时间为(93.0±8.1)min,短于B组的(101.0±14.8)min,差异有统计学意义(P<0.05)。A组患者术后的鼻部不适视觉模拟评分为(6.9±1.0)分,低于B组的(8.2±1.0)分,差异有统计学意义(P<0.05)。A组患者术后的咽部不适视觉模拟评分为(3.4±0.9)分,低于B组的(4.9±1.2)分,差异有统计学意义(P<0.05)。A组患者术后的恶心、呕吐不适视觉模拟评分为(2.5±1.0)分,低于B组的(3.1±0.9)分,差异有统计学意义(P<0.05)。结论自制鼻腔多功能导囊管低负压吸引在FESS中使用与传统常规吸引器间歇吸引手术相比并不会增加手术出血量,但可缩短一定的手术时间,在改善患者舒适度方面较传统方法有优势。Objective To compare the effect diffence of a self-made nasal multi-functional cystic duct and conventional surgery on the amount of bleeding,operative time,and patient comfort in functional endoscopic sinus surgery(FESS).Methods A total of 58 patients with chronic sinusitis and nasal polyps who were admitted to our hospital from February 2014 to February 2018 were enrolled.Patients were divided into group A(30 cases)and group B(28 cases)by the random number table method.Group A was given continuous low-pressure suction with a self-made nasal multi-functional cycstic duct,and group B was given intermittent aspiration with a conventional aspirator.The amount of bleeding and the time of surgery were recorded.The comfort scores were investigated using the visual scale method,including postoperative nasal symptoms,pharyngeal symptoms,nausea and vomiting.Results There was no significant difference in the amount of surgical bleeding between the two groups(P>0.05).The operation time of group A was(93.0±8.1)min,which was shorter than(101.0±14.8)min of group B,and the difference was statistically significant(P<0.05).The visual analogue score of nasal discomfort in group A was(6.9±1.0)points,which was lower than(8.2±1.0)points in group B,and the difference was statistically significant(P<0.05).The pharyngeal discomfort score in group A was(3.4±0.9)points,which was lower than(4.9±1.2)points in group B,and the difference was statistically significant(P<0.05).The nausea and vomiting discomfort score in group A was(2.5±1.0)points,which was lower than(3.1±0.9)points in group B,and the difference was statistically significant(P<0.05).Conclusion The self-made nasal multi-functional cystic duct with low negative pressure suction in FESS does not increase the amount of surgical bleeding when compared with intermittent suction by conventional device,but it can shorten the operation time and improve the comfort of patients.

关 键 词：鼻内镜手术 鼻腔多功能导囊管 舒适度 出血量 手术时间 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]