鼻中隔改良缝合技术在鼻中隔偏曲矫正术中的应用价值研究  

Study on application value of modified nasal septal suture technique in the correction of deviated nasal septum

作　　者：仇继兵[1] 曹影[2] 宋红毛[2] 李秀婷 秦锋 QIU Ji-bing;CAO Ying;SONG Hong-mao(Department of Otolaryngology Head and Neck Surgery,Changzhou Third People's Hospital,Changzhou 213001,China)

机构地区：[1]常州市第三人民医院耳鼻咽喉头颈外科,213001 [2]淮安市第二人民医院耳鼻咽喉头颈外科,223002 [3]江苏卫生健康职业学院公共卫生管理学院,210000

出　　处：《中国现代药物应用》2025年第3期52-55,共4页Chinese Journal of Modern Drug Application

基　　金：江苏省卫生健康职业技术教育研究课题(项目编号:WJZ202110);江苏省卫健委科研项目(项目编号:Z2019009);江苏省高等学校基础科学(自然科学)研究面上项目(项目编号:22KJB330004);江苏卫生健康职业学院校级科研项目(项目编号:JKD2021015)。

摘　　要：目的评价鼻中隔改良缝合技术在鼻中隔偏曲矫正术中的应用价值。方法选取86例行鼻中隔偏曲矫正术的患者,随机分为缝合组和对照组,每组43例。缝合组予以鼻中隔改良缝合,对照组予以膨胀海绵填塞鼻腔。比较两组术后疼痛情况[视觉模拟评分法(VAS)评分],症状评分,鼻窦CT评分及鼻内镜评分,并发症发生情况。结果术后24 h,缝合组VAS评分为(2.07±0.72)分,对照组为(9.56±0.89)分,缝合组明显低于对照组,差异具有统计学意义(P<0.05)。术后48 h,对照组抽出鼻腔填塞膨胀海绵后VAS评分为(7.16±0.69)分,缝合组为(2.31±0.72)分,缝合组明显低于对照组,差异具有统计学意义(P<0.05)。缝合组鼻部疼痛、头痛、溢泪、耳闷、吞咽困难、睡眠困难评分分别为(2.86±0.57)、(1.19±0.49)、(3.11±0.94)、(1.13±0.62)、(1.97±0.96)、(2.59±1.17)分,均低于对照组的(5.72±0.63)、(4.28±1.17)、(7.15±1.98)、(4.07±0.89)、(4.01±1.17)、(4.82±1.31)分,差异具有统计学意义(P<0.05)。术后,缝合组鼻窦CT评分(2.09±0.74)分及鼻内镜评分(2.01±0.51)分均低于对照组的(3.59±1.02)、(2.91±0.93)分,差异有统计学意义(P<0.05)。术后随访6个月,对照组并发症发生率为18.60%,缝合组并发症发生率为4.65%,缝合组显著低于对照组,差异有统计学意义(P<0.05)。结论鼻中隔偏曲矫正术中应用鼻中隔改良缝合技术能明显改善患者术后的不适感,减少并发症的发生,值得临床推广应用。Objective To evaluate the application value of modified nasal septal suture technique in the correction of deviated nasal septum.Methods 86 patients who underwent correction of deviated nasal septum were selected and randomly divided into the suture group and the control group,with 43 cases in each group.The suture group was provided with modified nasal septal suture,and the control group was provided with tumescent sponge filling of the nasal cavity.The postoperative pain[visual analog scale(VAS)score],symptom score,sinus CT score,nasal endoscopy score,and complications were compared between the two groups.Results 24 h after operation,VAS score was(2.07±0.72)points in the suture group and(9.56±0.89)points in the control group;the suture group was significantly lower than the control group,and the difference was statistically significant(P<0.05).48 h after operation,the VAS score of the control group was(7.16±0.69)points after removing the tumescent sponge in nasal cavity,while the VAS score of the suture group was(2.31±0.72)points;the suture group was significantly lower than the control group,and the difference was statistically significant(P<0.05).The scores for nasal pain,headache,epiphora,aural fullness,swallowing difficulties,and sleep difficulties in the suture group were(2.86±0.57),(1.19±0.49),(3.11±0.94),(1.13±0.62),(1.97±0.96),and(2.59±1.17)points,which were lower than(5.72±0.63),(4.28±1.17),(7.15±1.98),(4.07±0.89),(4.01±1.17),and(4.82±1.31)points in the control group,and the difference was statistically significant(P<0.05).After treatment,the sinus CT score was(2.09±0.74)points and the endoscopic score was(2.01±0.51)points in the suture group,which were lower than(3.59±1.02)and(2.91±0.93)points in the control group,and the differences were statistically significant(P<0.05).After 6 months of follow-up,the complication rate was 18.60% in the control group and 4.65% in the suture group;the suture group was significantly lower than the control group,and the difference was statistically

关 键 词：鼻中隔偏曲矫正术 改良缝合技术 视觉模拟评分法 并发症发生率 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]