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不同材料填充对慢性鼻-鼻窦炎功能性鼻内镜术后止痛及止血的影响
郑峰, 林潮楷, 洪树鹏, 王颖
揭阳市人民医院中山大学附属揭阳医院耳鼻咽喉科
摘要:
探讨不同材料填充对慢性鼻-鼻窦炎功能性鼻内镜术后止痛及止血的影响。回顾性分析2015年5月至2018年5月在我院行功能性鼻内镜术治疗的慢性鼻-鼻窦炎患者600例的临床资料,按治疗方式不同分为两组,A组300例术后采用明胶海绵+凡士林纱布填塞;B组300例术后采用纳吸绵填塞。比较两组术后出血、疼痛情况、鼻内镜检查情况,均随访12周观察术腔恢复情况。B组出血率明显低于A组,差异有统计学意义(P<0.01);B组术后6周与12周VAS评分均低于A组,差异有统计学意义(P<0.01);B组术后6周与12周 Lund-Kennedy评分均低于A组,差异有统计学意义(P<0.01);A组中鼻甲粘连、筛窦内囊泡化发生率与B组比较,差异无统计学意义(P>0.05);但B组窦口封闭、术腔肉芽发生率均低于A组,差异有统计学意义(P<0.01)。与明胶海绵+凡士林纱布填塞相比,纳吸绵填塞可减轻慢性鼻 鼻窦炎功能性鼻内镜术疼痛程度,减少出血,术腔恢复质量更佳。
关键词:  慢性鼻 鼻窦炎  功能性鼻内镜术  明胶海绵  凡士林纱布  纳吸绵
DOI:10.11851/j.issn.1673-1557.2019.06.007
分类号:
基金项目:
Effects of different materials on pain and bleeding after functional endoscopic sinus surgery for chronic rhinosinusitis
ZHENG Feng, LIN Chaokai, HONG Shupeng, WANG Ying
Abstract:
To investigate the effect of filling with different materials on pain and bleeding after functional endoscopic sinus surgery for chronic rhinosinusitis The clinical data of 600 patients with chronic rhinosinusitis who underwent functional endoscopic sinus surgery from May 2015 to May 2018 was retrospectively analyzed They were divided into two groups according to different treatment methods 300 patients in group A were filled with gelatin sponge and vaseline gauze after operation; 300 patients in group B were filled with Nasopore after operation Hemorrhage, pain and nasal endoscopic results were compared between the two groups The recovery of operation cavity was observed after 3 months of follow-up The bleeding rate in group B was significantly lower than that in group A at 6 and 12 weeks after operation(P<0.01); the VAS score and the Lund-Kennedy score in group B were all lower than those in group A at 6 and 12 weeks after operation (P<0.01); the incidences of middle turbinate adhesion and vesicle formation in ethmoid sinus in group A were not significantly different from those in group B (P>0.05); but the incidences of sinus orifice closure and cavity granulation in group B were lower than those in group A (P<0.01) Compared with gelatin sponge and vaseline gauze packing, Nasopore packing can alleviate the pain and bleeding after functional endoscopic sinus surgery for chronic rhinosinusitis, and the quality of surgical cavity recovery is better
Key words:  chronic rhinosinusitis  functional endoscopy  gelatin sponge  vaseline gauze  Nasopore
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