Sorbalgon藻酸钙敷料应用于鼻窦内窥手术的疗效观察

目的 研究Sorbalgon藻酸钙敷料用于鼻窦内镜手术后鼻腔填塞止血的可行性及疗效。方法 选择50例双侧慢性鼻窦炎鼻息肉患者,同体比较鼻窦内镜手术后Sorbalgon藻酸钙敷料(治疗侧)与凡士林纱条(对照侧)鼻腔填塞止血效果和填塞后鼻腔反应情况。结果 治疗侧鼻胀痛少见且程度轻,鼻腔无明显出血;抽出填塞物后鼻腔粘膜反应轻,恢复快,鼻腔恢复通气所需时间短。而对照侧多数出现疼痛反应,且程度重,大多有不同程度出血;抽纱条后鼻腔粘膜反应重,恢复慢,鼻腔恢复通气所需时间长。治疗侧和对照侧术后3个月的术腔上皮化情况基本相同。结论 应用Sorbalgon藻酸钙敷料止血效果好,在鼻窦内镜手术中具有良好的应用价值。

Hemostatic effects of Sorbalgon dressing after intranasal endoscopic surgery

Objective To study the therapeutic effects of Sorbalgon dressing for hemostasis after intranasal endoscopic surgery. Methods Intranasal endoscopic surgery was performed in 50 patients with bilateral chronic nasosinusitis and nasal polyps, after which the hemostatic effect of Sorbalgon and Vaseline dressings and nasal cavity reaction were observed. Results Sorbalgon dressing resulted in milder nasal swelling and pain without obvious nasal hemorrhage and mucous membrane reaction, and the average time of nasal recovery was shorter in comparison with Vaseline dressing, which caused severe pain, obvious haemorrhage, and nasal mucous membrane swelling with prolonged nasal recovery. Three months after the operation, similar mucous membrane epithelialization was observed in the nasal cavity managed with the two dressings. Conclusion Sorbalgon dressing has good hemostatic effect after intranasal endoscopic surgery.