鼻中隔黏膜下切除术后鼻中隔夹与高膨胀止血海绵的应用比较(1)
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[摘要] 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。
[关键词] 鼻中隔/外科学；夹；高膨胀止血海绵；鼻腔填塞
[中图分类号] R765.3 [文献标识码]B [文章编号] 1673-7210(2011)07(b)-219-02
Application comparative clip of septum and high expansion hemostatic sponge after submucosal resection of nose septum
CAI Zhuo, QIN Ying, LIU Xiaofen, CHEN Siping, ZHU Huaiwen
Department of Otolaryngology, Affiliated Chen Xinghai Hospital of Guangdong Medical Colleage, Zhongshan 528415, China
[Abstract] Objective: To explore application value of the clip of septum and the high expansion hemostatic sponge in pure after submucosal resection of nose septum. Methods: We controlled study 22 patients of symptoms,signed and healled through septal Belongs to clip of septum fixed group and high expansion hemostatic sponge fixed groups after submucosal resection of nose septum. Results: Postoperative symptoms of clip of septum fixed patients slighter than high inflation hemostatic sponge stuffiness fixed patients obviously. Incidence of nasal ventilation obstacles, headache pain and nasal pain,tinnitus and ear frowsty, overflow tears, dry throat, insomnia, septal hematoma in high expansion hemostatic sponge fixed groups was 100.0%, 90.9%, 54.5%, 63.6%, 81.8%, 72.7%, 13.6%. It was 27.2%, 13.6%, 9.1%, 9.1%, 13.6%, 9.1%,4.5% in clip of septum fixed groups. Nasal ventilation obstacles (χ2=25.14, P<0.01), headache pain and nasal pain (χ2=26.33, P<0.01), tinnitus and ear frowsty (χ2=10.48, P<0.01), overflow tears (χ2=14.14, P<0.01), dry throat (χ2=20.50, P<0.01), insomnia (χ2=18.43, P<0.01), These difference was statistically significant. Conclusion: The method used clip of septum fixed after submucosal resection of nose septum can obviously reduce patients affliction.It is a safe,reliable and effective method, which can replace high expansion hemostatic sponge stuffiness way ......
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