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目的:探讨鼻中隔夹与高膨胀止血海绵在单纯鼻中隔黏膜下切除术后的应用价值。方法:对照研究鼻中隔黏膜下切除术后鼻中隔夹持器固定组和高膨胀止血海绵填塞固定组各22例患者的症状、体征及愈合经过。结果:鼻中隔夹持器固定较高膨胀止血海绵填塞固定患者术后症状明显减轻。通过对比,高膨胀止血海绵填塞固定组的鼻通气障碍、头痛鼻痛、耳鸣耳闷、溢泪、咽干、失眠、鼻中隔血肿的发生率分别是100.0%、90.9%、54.5%、63.6%、81.8%、72.7%、13.6%。鼻中隔夹持器固定组术后上述症状的发生率为27.2%、13.6%、9.1%、9.1%、13.6%、9.1%、4.5%。其中对鼻通气障碍(χ2=25.14,P<0.01);头痛鼻痛(χ2=26.33,P<0.01);耳鸣耳闷(χ2=10.48,P<0.01);溢泪(χ2=14.14,P<0.01);咽干(χ2=20.50,P<0.01);失眠(χ2=18.43,P<0.01)比较差异有统计学意义。结论:鼻中隔黏膜下切除术后使用鼻中隔夹持器固定的方法可以明显减轻患者的痛苦,是一种安全、可靠、有效的方法,可以取代高膨胀止血海绵的填塞方式。
Objective: To investigate the value of nasal septum clip and high-expansion hemostatic sponge after sub-mucosal resection of nasal septum. Methods: Controlled study of 22 patients with nasal septum secundum sealant fixation group and high expansion of hemostatic sponge packing group of 22 patients with symptoms, signs and healing through. Results: The nasal septum retainer fixed high expansion hemostatic sponge packing fixed patients postoperative symptoms significantly reduced. By contrast, the incidences of nasal ventilation disorders, headache nasal pain, tinnitus and ear bothersome, overflowing tears, throat, insomnia and nasal septum hematoma were 100.0%, 90.9%, 54.5% and 63.6% respectively in the high expansion hemostatic sponge packing group, 81.8%, 72.7%, 13.6%. The rates of these symptoms were 27.2%, 13.6%, 9.1%, 9.1%, 13.6%, 9.1%, 4.5% in the group of nasal septum clasp fixation. (Χ2 = 14.14, P <0.01), and nasal obstruction (χ2 = 14.14, P <0.01); nasal obstruction of headache (χ2 = 26.33, 0.01). There was significant difference between the throat dryness (χ2 = 20.50, P <0.01) and insomnia (χ2 = 18.43, P <0.01). CONCLUSIONS: Subsequent nasal septum submucosal resection using nasal septum retainer fixation can significantly reduce the pain of patients is a safe, reliable and effective method that can replace the high-expansion hemostatic sponge packing method.