摘要
目的:探讨微纤维止血胶原(Avitene)在内镜下腺样体吸切术创面止血的临床效果。方法:将58例行内镜下腺样体吸切术的患者随机分为三组,A组23例(盐酸赛洛唑啉纱条压迫+Avitene涂抹),B组19例(盐酸赛洛唑啉纱条压迫+电凝止血),C组16例(仅以盐酸赛洛唑啉纱条压迫止血)。比较三组患者的手术时间、止血时间、出血程度、止血难度、术后疼痛、进食恢复时间及术后并发症等指标。结果:三组出血程度比较无统计学差异(P>0.05)。A组手术时间、止血时间、止血难度均低于B组、C组,差异具有统计学意义(P<0.05)。A组术后疼痛、进食恢复时间低于B组,差异具有统计学意义(P<0.05),与C组比较无统计学差异。三组均未出现术后出血、感染、误吸等并发症。结论:微纤维止血胶原用于内镜下腺样体吸切术创面止血,具有快速方便、安全有效的特点。
Objective: To investigate the effects of microfibrillar collagen hemostat (Avitene) in endoscopic adenoidectomy. Methods: Fifty eight patients treated with endoscopic adenoidectomy were randomly divided into group A (compression and Avitene), group B (compression and electrocautery) and group C (only compression). The operation time, hemostasis time, degree of bleeding, difficulty of hemostasis, pain, diet time and surgical complications were compared among three groups. Results: No significant difference was found in the degree of bleeding among three groups (P>0.05). The Operation time, hemostasis time and difficulty of hemostasis in group A were significantly lower than those in group B and group C (P <0.05). The postoprative pain and diet revovery time of group A were lower than those of group B (P <0.05). No surgical complications, including postoperative hemorrhage, infection or aspiration occurred in either group. Conclusions: The application of microfibrillar collagen hemostat in endoscopic adenoidectomy proved to be rapid, effective, simple and safe.
作者
何超
陈观明
曾玲玲
张心浩
HE Chao;CHEN Ouan-ming;ZENG Ling-ling;ZHANG Xin-hao(Department of Otolaryngology-Head and Neck Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)
出处
《现代生物医学进展》
CAS
2018年第22期4240-4243,共4页
Progress in Modern Biomedicine
基金
国家自然科学基金项目(81470677)
