摘要
目的 探讨减少慢性鼻窦炎、鼻息肉内镜鼻窦手术中出血的方法。方法 通过对慢性鼻窦炎、鼻息肉患者进行围手术期术前处理 68例 ,并与未经围手术前期处理的同类手术 (30例 )进行比较。结果 术前处理组的手术有效率为 91 2 % ,术前未处理组的手术有效率为 80 % ,两者经统计学处理差异有显著性 (F =8 61 7,P =0 0 2 6) ;术前处理组术中出血量为 (53 2± 41 8)ml,术前未处理组为 (97 2± 59 0 )ml,两者经统计学处理差异有显著性 (F =2 7 946 ,P =0 0 0 2 )。结论 术前用药物控制慢性鼻窦炎、鼻息肉的炎症是减少内镜鼻窦手术出血的重要环节 ,而良好和足够时间的术中中鼻道血管收缩剂的应用、控制性低血压的应用。
Objective To explore the method of reducing bleeding during endoscopic sinus surgery for chronic sinusitis and nasal polyp Methods Bleeding during surgery and the effective rate of two groups patients with chronic sinusitis and nasal polyp were compared (68 cases in group A with preoperative treatment, 30 cases in group B without preoperative treatment) Results The effective rate between group A(91 2% ) and group B(80%) is of significant difference( F =8 617, P =0 026); The volume of bleeding during surgery between group A that is (53 2±41 8) ml and group B that is (97 2±59 0 ) ml is of significant difference ( F =27 946, P =0 002) Conclusions Controlling the inflammatory reaction of chronic sinusitis and nasal polyp by preoperative treatment is the most important factor to reduce bleeding while undergoing endoscopic sinus surgery However, the followings are also important factors to reduce bleeding in endoscopic sinus surgery, such as adequate use of vasoconstrictor in the middle nasal meatus during surgery, the use of deliberate hypotension during surgery, controlling the high risk factors by preoperative treatment and reducing trauma during surgery, etc.
出处
《中华耳鼻咽喉科杂志》
CAS
CSCD
北大核心
2003年第3期202-205,共4页
Chinese Journal of Otorhinolaryngology
