鼻中隔改良缝合技术在鼻中隔偏曲矫正术中的应用研究
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苏州市第九人民医院耳鼻咽喉科江苏苏州

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Clinical application of modified nasal septum suture technique in nasal septum deviation correction
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    [摘要] 目的 系统评价鼻中隔改良缝合技术在鼻中隔偏曲矫正术中的应用价值。方法 80例行鼻中隔偏曲矫正术的患者随机分为填塞组和缝合组,各40例。对两组患者术后吞咽困难、鼻部疼痛、头痛、溢泪、耳闷、睡眠困难等症状进行视觉模拟量表(visual analogue scale, VAS)评分,并比较两组患者术后在鼻中隔血肿、鼻腔粘连、鼻中隔穿孔、局部感染等方面的发生率。结果 术后24h,填塞组在吞咽困难、鼻部疼痛、头痛、耳闷、睡眠困难等方面的VAS评分值均高于缝合组(t=14.14、21.54、18.60、28.58、23.00,P<0.05);术后48h清理鼻腔时,填塞组的疼痛评分显著高于缝合组(t=26.80,P<0.05);此外,术后填塞组出现4例鼻中隔血肿、2例鼻腔粘连,而缝合组仅出现1例鼻中隔血肿,两组术后并发症的发生率有统计学差异(2=3.91,P<0.05)。结论 鼻中隔偏曲矫正术中应用鼻中隔改良缝合技术能明显改善患者术后的不适感,减少并发症的发生,值得临床推广。

    Abstract:

    [Abstract] Objective To systematically evaluate the value of modified nasal septum suture in nasal septum correction. Methods Eighty patients with deviation of nasal septum were randomly divided into packing group and suture group, 40 patients respectively. The visual analogue scale (VAS) of postoperative dysphagia, nasal pain, headache, epiphora, ear suffocation and sleep difficulty were compared between the two groups. The incidence of postoperative complications such as hematoma, nasal cavity adhesion, nasal septum perforation and local infection were also compared. Results The VAS of dysphagia, nasal pain, headache, ear tightness and sleep difficulty in the packing group was greater than that in the suture group 24 hours postoperation (t=14.14、21.54、18.60、28.58、23.00,P<0.05). The pain score in the packing group was significantly higher than that in the suture group (t=26.80,P<0.05). In addition, there were 4 cases of hematoma, 2 cases of nasal cavity adhesion occurred in the packing group, however, only 1 case of hematoma occurred in the suture group, the differences were statistically significant (2=3.91,P<0.05). Conclusions After nasal septum correction, the application of modified nasal septum suture technology without packing can obviously reduce the postoperative discomfort symptoms and reduce the related complications of patients, and is worthy of clinical promotion.

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  • 收稿日期:2021-12-08
  • 最后修改日期:2022-01-12
  • 录用日期:2022-01-28
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