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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 被引量:21

Application of continuous sutures for nasal septum after septoplasty
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摘要 目的:分析鼻中隔缝合在鼻中隔偏曲矫正术中的疗效和安全性。方法:将60例单纯鼻中隔偏曲患者分为缝合组和填塞组,每组30例。比较2组患者术后主观不适感的视觉模拟量表(VAS)评分均值,并比较术后鼻中隔血肿和鼻腔粘连等并发症的发生情况。结果:填塞组鼻塞、鼻部疼痛、头痛、流泪、耳鸣(耳闷)、吞咽困难和睡眠困难等指标的VAS评分明显大于缝合组,差异有统计学意义(P<0.05)。鼻中隔血肿等并发症的发生率2组差异无统计学意义(P>0.05)。结论:鼻中隔缝合相对鼻腔填塞优势较为明显,值得临床应用。 Objective:To investigate the efficacy and safety of nasal septal suture in septoplasty.Method:Sixty patients who had undergone septoplasty were allocated into two groups:packing group and suturing group.Postoperative signs and symptoms(visual analogue scale)were compared between the two groups.Result:The patients of packing group experienced significantly more postoperative pain,epiphora,tinnitus,ear fullness,sleep disturbance and nasal congestion(P〈0.05).No statistically significant difference between two groups in hemorrhage(P〉0.05).Conclusion:Nasal septum continuous suture is a feasible method to replace nasal packing after septoplasty.
出处 《临床耳鼻咽喉头颈外科杂志》 CAS 北大核心 2016年第5期381-382,共2页 Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词 鼻中隔偏曲 鼻腔填塞 缝合技术 deviation of nasal septum nasal packing suture technique
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参考文献6

  • 1周兵,崔卫新,王丹妮,黄谦,张永杰.鼻内镜手术后鼻腔填塞物的选择及效果比较[J].耳鼻咽喉(头颈外科),2004,11(1):59-61. 被引量:130
  • 2WANG M.Suture techniques for nasal septum[J].Adv Rev,2011,26:215-217. 被引量:1
  • 3SALAMA M A.Endoscopic aided septoplasty versus conventional septoplasty[J].World J Med Sci,2014,11:33-38. 被引量:1
  • 4BANGLAWALA S M,GILL M S,DHILLION N,et al.Nasal packing after septoplasty:cardiopulmonary impact[J].JAMA Otolaryngol Head Neck Surg,2014,140:253-258. 被引量:1
  • 5AWAN M S,IQBAL M.Nasal packing after septoplasty:a randomized comparison of packing versus no packing in 88patients[J].Ear Nose Throat J,2008,87:624-627. 被引量:1
  • 6AKSOY E,SERIN G M,POLAT S,et al.Removing intranasal splints after septal surgery[J].J Craniofac Surg,2011,22:1008-1009. 被引量:1

二级参考文献2

  • 1Garth R J, Brightwell AP, A comparison of packing materials used in nasal surgery. J Laryngol Otol, 1994; 108: 564-566. 被引量:1
  • 2Dowley AC, Strachan DR, Allergy to Merocel nasal packs causing septal perforation and inferior turbinate necrosis,JLaryngol Otol. 2001; 115: 735. 被引量:1

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