連續(xù)貫穿縫合法和鼻腔填塞在鼻中隔成形術(shù)中的應(yīng)用效果比較(1)
[摘要]目的 比較連續(xù)貫穿縫合法和鼻腔填塞在鼻中隔成形術(shù)中的應(yīng)用效果。方法 選取2017年1月~2019年12月我院收治的60例行鼻中隔成形術(shù)患者作為研究對(duì)象,按照隨機(jī)數(shù)字表法將其分為觀察組(n=30)和對(duì)照組(n=30)。對(duì)照組患者術(shù)后給予高膨脹海綿行鼻腔填塞,觀察組患者術(shù)后采用連續(xù)貫穿縫合法,采用Lund-Mackay評(píng)分系統(tǒng)評(píng)估鼻內(nèi)鏡、鼻竇CT情況,采用視覺(jué)模擬評(píng)分量表(VAS)評(píng)估患者的臨床癥狀改善程度,兩周后隨訪比較兩組患者術(shù)后并發(fā)癥發(fā)生情況。結(jié)果 觀察組的鼻內(nèi)鏡、鼻竇CT評(píng)分高于對(duì)照組,VAS評(píng)分低于對(duì)照組(P<0.05);觀察組患者術(shù)后并發(fā)癥總發(fā)生率低于對(duì)照組(P<0.05)。結(jié)論 在鼻中隔成形術(shù)后,與鼻腔填塞相比,采用連續(xù)貫穿縫合法可顯著改善患者的術(shù)后不適癥狀,保護(hù)鼻腔黏膜清除功能,降低術(shù)后并發(fā)癥的發(fā)生率。[關(guān)鍵詞]鼻中隔成形術(shù);鼻腔填塞;貫穿縫合;視覺(jué)模擬量表評(píng)分
[中圖分類號(hào)] R765.31 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721(2020)8(b)-0120-03
[Abstract] Objective To compare the effect of continuous penetration suture method and nasal cavity packing in nasal septoplasty. Methods A total of 60 patients who underwent nasal septoplasty from January 2017 to December 2019 in our hospital were selected as the research objects ......
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