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  

Effect of nasal septal suture and nasal packing after endoscopic septal correction contrastive study

作　　者：王宁生 Wang Ningsheng(Department of ENT,Funing County Hospital of traditional Chinese medicine,Yancheng City,Jiangsu Province,Jiangsu,Yancheng,224400,China)

机构地区：[1]江苏省盐城市阜宁县中医院,江苏盐城224400

出　　处：《中国医学文摘（耳鼻咽喉科学）》2019年第6期416-418,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的比较鼻内镜下行鼻中隔矫正术后鼻中隔缝合与鼻腔填塞的临床疗效。方法选取2016年1月~2018年1月于我院行鼻中隔矫正术的60例老年患者作为研究对象,根据术后鼻腔处理方式不同,分为研究组(缝合组)和对照组(填塞组),各30例。观察两组患者的临床治疗效果及并发症。结果对照组术后24 h鼻部疼痛及鼻塞的VAS评分较12 h显著增加,而研究组术后24 h的VAS评分较12 h显著降低;并且在12 h及24 h时,研究组VAS评分均低于对照组,差异具有统计学意义(P<0.05)。研究组头痛、流泪、耳鸣、吞咽困难及睡眠困难等临床症状VAS评分显著低于对照组,差异具有统计学意义(P<0.05)。两组患者鼻中隔血肿、鼻中隔脓肿、鼻中隔穿孔、鼻腔粘连情况以及疗效无显著差异,无统计学意义(P>0.05)。结论老年患者在鼻内镜下行鼻中隔矫正术后鼻中隔缝合能显著改善老年患者鼻部疼痛、鼻塞,以及头痛、流泪、耳鸣、吞咽困难、睡眠困难等临床症状,值得临床实践应用。Objective To compare the clinical effect of nasal septum suture and nasal filling after nasal septum correction under nasal endoscope.Methods 60 elderly patients who underwent nasal septum correction in our hospital from January 2016 to January 2018 were selected as the research objects.According to different nasal cavity treatment methods after surgery,they were divided into the study group(suture group)and the control group(tamping group),with 30 cases each.To observe the clinical effect and complications of the two groups of patients.Results VAS score of postoperative nasal pain and congestion increased significantly in the control group 24 hours after surgery compared to 12 h,while VAS score decreased significantly in the study group 24 hours after surgery compared to 12 h.At 12 h and 24 h,VAS score in the study group was lower than that in the control group,with statistically significant difference(P<0.05).The VAS scores of headache,tears,tinnitus,dysphagia and sleep difficulties were significantly lower in the study group than in the control group,with statistically significant differences(P<0.05).There was no significant difference in septal hematoma,septal abscess,septal perforation,nasal adhesion and efficacy between the two groups(P>0.05).Conclusions Septal suture under nasal endoscope can significantly improve nasal pain,nasal congestion,headache,tears,tinnitus,dyspnea,sleep difficulty and other clinical symptoms in elderly patients,which is worthy of clinical practice.

关 键 词：鼻中隔偏曲 鼻中隔缝合 鼻腔填塞 疗效 

分 类 号：R76[医药卫生—耳鼻咽喉科]