鼻中隔偏曲矫正术中应用鼻中隔褥式缝合并填塞可吸收材料与鼻腔填塞膨胀海绵的效果比较  

Nasal septum mattress suture with absorbable material and nasal tamponade sponge in correction of deviated nasal septum

作　　者：郭淼[1] 孟令浩[1] 姜梦莎 程艳杰 Guo Miao;Meng Linghao;Jiang Mengsha;Cheng YanJie(Department of Otolaryngology,Zhengzhou Second Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第二人民医院耳鼻咽喉科,郑州450000

出　　处：《中国实用医刊》2024年第19期4-7,共4页Chinese Journal of Practical Medicine

基　　金：2019年河南省医学科技攻关计划联合共建项目(LHGJ20191016)。

摘　　要：目的比较鼻中隔偏曲矫正术中应用鼻中隔褥式缝合并填塞可吸收材料与鼻腔填塞膨胀海绵的效果。方法队列研究。抽取2021年1月至2023年1月于郑州市第二人民医院耳鼻咽喉科行鼻中隔偏曲矫正术的患者60例为研究对象,采用随机数字表法将入组患者分为可吸收材料组和膨胀海绵组,每组30例。可吸收材料组患者在鼻中隔矫正并褥式缝合后,行下鼻甲骨折外移并等离子打孔消融,双侧鼻腔填塞可吸收止血材料;膨胀海绵组患者在鼻中隔偏曲矫正术后,行下鼻甲骨折外移并等离子打孔消融,术后双侧鼻腔填塞膨胀海绵。术后采用视觉模拟评分法(VAS)评估两组患者主观不适感,并比较两组术后48 h抽取鼻腔填塞物时的疼痛感和出血量,随访1个月统计两组患者并发症情况。结果可吸收材料组术后吞咽困难、溢泪、头痛、鼻塞、睡眠困难、口干、耳闷7个方面的VAS评分均低于膨胀海绵组(P均<0.05)。可吸收材料组术后48 h抽取鼻腔填塞物时疼痛及出血量VAS评分低于膨胀海绵组(P<0.05)。术后门诊随诊复查显示,两组患者的鼻中隔均处于正常位置,没有遗留的偏曲。结论鼻中隔矫正术后应用褥式缝合并填塞可吸收止血材料可有效提高患者术后舒适度,且不会增加术后并发症的发生率。ObjectiveTo compare the effect of septum mattress suture with absorbable material and nasal tamponade sponge in the correction of deviated nasal septum.MethodsSixty patients who were treated by correction of deviated nasal septum in the Department of Otolaryngology of Zhengzhou Second Hospital from January 2021 to January 2023 were selected as the study subjects for the cohort study.And they were divided into the absorbable material group and the nasal tamponade sponge group using a random number table method,with 30 cases in each group.After septal correction and mattress suture,the absorbable material group experienced outfracture of the inferior turbinate and plasma perforation ablation,and the nasal cavity was filled with absorbable hemostatic material bilaterally.After septal deviation correction,the nasal tamponade sponge group underwent outfracture of inferior turbinate and plasma perforation ablation,and the nasal cavity was filled with tamponade sponge bilaterally.After operation,visual analogue scale(VAS)was used to assess the subjective discomfort degree of the two groups.The pain degree and bleeding volume of the two groups were compared when the nasal plugs were extracted 48 hours after the operation.Both groups were followed up for 1 month to record the incidence of complications in the two groups.ResultsAfter surgery.the VAS scores of the absorbable material group were significantly lower than those of the nasal tamponade sponge group in the 7 aspects of postoperative discomfort:nasal congestion,headache,dry mouth,dysphagia,difficulty in sleeping,ear stuffiness,and tear overflow(all P<0.05).The VAS score of pain and bleeding volume in the absorbable material group were significantly lower than those in the nasal tamponade sponge group when the nasal plugs were extracted 48 hours after the operation(P<0.05).According to postoperative outpatient follow-up results,septum was in a normal position in both groups,with no residual deviation.ConclusionsThe application of mattress suture and filling with ab

关 键 词：鼻中隔 褥式缝合 可吸收材料 鼻腔填塞膨胀海绵 鼻中隔偏曲矫正术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]