鼻中隔连续贯穿缝合技术在鼻中隔偏曲矫正术中的应用

目的 评价鼻中隔连续贯穿缝合技术在鼻中隔偏曲矫正术中的应用及效果。 方法 选取2016年4月至2017年3月因鼻中隔偏曲接受手术治疗的患者39例,随机分成填塞组与缝合组。填塞组于术后用高分子膨胀海绵填塞双侧鼻腔,缝合组于术后行鼻中隔连续贯穿缝合,不进行鼻腔填塞。术后对两组患者主观不适感以视觉模拟评分法(VAS)进行症状评分,比较两组患者术后鼻塞、鼻部疼痛、头痛、睡眠困难、流泪的VAS评分,观察术后鼻出血量、鼻中隔血肿、鼻中隔穿孔发生率等临床指标。 结果 术后48 h内填塞组患者鼻部疼痛、头痛、睡眠困难、流泪等方面VAS评分明显高于缝合组,差异有统计学意义(P均<0.05)。两组患者术后鼻塞VAS评分、鼻出血量、鼻中隔血肿、鼻中隔穿孔发生率等差异无统计学意义(P均>0.05)。 结论 鼻中隔连续贯穿缝合技术能明显减轻鼻中隔偏曲患者术后的痛苦,并不增加术后并发症的发生概率。

Efficacy of the continuous suture technique in septoplasty

Objective To evaluate the efficacy of the continuous septum suturing technique in nasal septoplasty. Methods A total of 49 patients who underwent nasal septoplasty, were included in this study. The patients were randomly divided into two groups: a packing group and a suturing group. Postoperative signs and symptoms were compared between the two groups using visual analogue scales(VAS). Results Analysis of the VAS scores revealed that the patients in the packing group experienced significantly more postoperative nasal pain, headache, sleep disturbances, and epiphora(all P<0.05). There were no statistically significant differences between the two groups in nasal congestion, hemorrhage, septal hematoma, nasal septum perforation, and local infection(all P>0.05). Conclusion The continuous septum suturing technique can relieve postoperative pain and does not increase complications; thus it deserves further dissemination.