| 李 岗,姚 昆,朱玄生,曹 玮,尹志利.鼻中隔成形术中鼻腔填塞法及鼻中隔“8”字缝合法的疗效比较研究[J].,2019,19(6):1134-1137 |
| 鼻中隔成形术中鼻腔填塞法及鼻中隔“8”字缝合法的疗效比较研究 |
| Comparative Study of Nasal Packing and Septum "8" Suture in Nasal Septum Plasty |
| 投稿时间：2018-10-12 修订日期：2018-10-31 |
| DOI：10.13241/j.cnki.pmb.2019.06.029 |
| 中文关键词: 鼻中隔成形术 鼻腔填塞法 鼻中隔“8”字缝合法 疗效 比较 |
| 英文关键词: Nasal septum plasty Nasal packing Septum "8" suture Curative effect Comparative |
| 基金项目:安徽省卫生厅科研基金项目（2013xy127） |
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| 中文摘要: |
| 摘要 目的：探讨鼻中隔成形术中鼻腔填塞法及鼻中隔“8”字缝合法的疗效。方法：选取2017年7月~2018年7月期间我院收治的拟行鼻中隔成形术的鼻中隔偏曲患者60例。采用乱数表法将患者分为对照组、实验组两组，各30例患者，两组患者均行鼻内镜下鼻中隔成形术，术后对照组给予鼻腔填塞法处理，实验组给予鼻中隔“8”字缝合法处理。比较两组术后临床疗效、鼻粘膜水肿情况，观察两组不同时间点视觉疼痛模拟评分（VAS）情况，记录两组患者术后鼻中隔并发症发生情况。结果：实验组术后7d临床总有效率为96.67%（29/30），显著高于对照组患者的80.00%（24/30），差异有统计学意义（P<0.05）。与术前相比，两组患者术后12hVAS评分升高，术后24h、术后48hVAS评分下降（P<0.05）；与术后12h相比，两组患者术后24h、术后48hVAS评分均下降，且术后48hVAS评分低于术后24h（P<0.05）；实验组术后12h、术后24h、术后48hVAS评分均低于对照组（P<0.05）。实验组鼻粘膜水肿0级患者数量显著高于对照组，鼻粘膜水肿1级患者数量显著低于对照组（P<0.05）；两组鼻粘膜水肿2级患者数量比较差异无统计学意义（P>0.05）；两组患者鼻中隔并发症总发生率比较差异无统计学意义（P>0.05）。结论：相较于鼻腔填塞法，鼻中隔成形术中采用鼻中隔“8”字缝合法疗效显著，可减轻患者疼痛，改善患者鼻粘膜水肿情况，且不会增加并发症发生率，具有一定的临床应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of nasal packing and septum "8" suture in nasal septum plasty. Methods: 60 patients with deviation of nasal septum who were scheduled to undergo septoplasty in our hospital from July 2017 to July 2018 were selected. The patients were divided into control group and experimental group by random number table, each 30. Two groups of patients underwent endoscopic septum plasty under nasal endoscope. The control group was treated with nasal packing, and the experimental group was treated with septum "8" suture.The clinical efficacy and nasal mucosal edema were compared between the two groups.Visual analogue pain score (VAS) was observed at different time points in the two groups, and postoperative complications of nasal septum were recorded in two groups of patients. Results: The total effective rate at 7d after operation in the experimental group was 96.67%（29/30）,which was significantly higher than 80.00%（24/30） in the control group, the difference was statistically significant (P<0.05). Compared with preoperative, the VAS scores of the two groups increased at 12h after operation, the VAS scores decreased at 24h after operation and 48h after operation (P<0.05). Compared with 12h after operation, the VAS scores of the two groups decreased at 24h after operation and 48h after operation, and the VAS scores of 48h after operation were lower than that of 24h after operation (P<0.05). The VAS scores of 12h after operation, 24h after operation and 48h after operation in the experimental group were lower than those of the control group (P<0.05). The number of patients with grade 0 nasal mucosal edema in the experimental group were significantly higher than those in the control group, and the number of patients with grade 1 nasal mucosal edema were significantly lower than those in the control group (P<0.05). There were no significant differences in the number of patients with grade 2 nasal mucosal edema between the two groups (P>0.05). There was no significant difference in the incidence of nasal septal complications between the two groups (P>0.05). Conclusion: Compared with the nasal packing method, the "8" suture of nasal septum in nasal septum plasty is more effective, which can relieve the pain, improve the nasal mucosal edema, and do not increase the incidence of complications. It has certain clinical application value. |
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