鼻中隔改良缝合技术在鼻中隔偏曲矫正术中的应用

Clinical application of modified nasal septum suture technique in correction of nasal septum deviation

摘要:

目的 总结与探讨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，每组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(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24 h，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均<0.05);术后48 h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经比较差异具有统计学意义(χ²=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，值得临床推广应用。

关键词:鼻中隔矫正术;缝合技术;鼻腔填塞;满意度;并发症

Abstract:

Objective To systematically evaluate the value of modified nasal septum suture in the correction of nasal septum deviation.Methods Eighty patients with deviation of nasal septum were randomly divided into packing group and suture group with 40 cases in each group. The postoperative symptoms of the two groups were compared by the Visual analogue scale(VAS), including the postoperative dysphagia, nasal pain, headache, epiphora, ear suffocation and sleep difficulty. The incidence of postoperative complications such as hematoma, nasal cavity adhesion, nasal septum perforation and local infection was also compared.Results The VAS of dysphagia, nasal pain, headache, ear tightness and sleep difficulty in the packing group were higher than those in the suture group 24 hours post-operation (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 48h after nasal cavity cleaning(t=26.80,P<0.05). In addition, there were 4 cases of septal hematoma, 2 cases of nasal cavity adhesion in the stuffing group, while only 1 case of septal hematoma in the suture group. The incidence of postoperative complications between the two groups was statistically significant (χ²=3.91,P<0.05). Conclusion The application of modified nasal septum suture technology during the correction of nasal septum deviation can obviously reduce the postoperative discomfort symptoms and reduce the incidence of complications, which is worthy of clinical application.

Key words:Nasal septum correction;Suture technique;Nasal packing;Satisfaction;Complications