鼻中隔成形术中鼻中隔缝合法与鼻腔填塞法的效果比较

目的 探讨鼻中隔成形术中鼻中隔缝合法与鼻腔填塞法的效果比较。 方法 2014年9月至2015年8月延边大学附属医院耳鼻咽喉科收治鼻中隔偏曲患者95例,均行鼻中隔成形术,将患者随机分为鼻腔填塞组及鼻中隔缝合组,比较两组患者术后头痛、鼻部胀痛、流泪及鼻塞症状的VAS评分,以及手术费用及术后并发症的发生情况。 结果 在术后头痛、鼻部胀痛、流泪及鼻塞等方面,填塞组的VAS评分明显高于缝合组,差异具有统计学意义(P<0.05),鼻腔填塞组手术相关费用较鼻中隔缝合组高。 结论 鼻中隔缝合法在鼻中隔偏曲成形术中的应用可以减轻患者的术后痛苦,费用相对低廉,值得推广。

Comparison of nasal septum suture and nasal packing in septoplasty

Objective To explore the effect of nasal septum suture and nasal packing in septoplasty.Methods A total of 95 patients who were diagnosed as deviation of the nasal septum were undergone septoplasty in Yanbian University Hospital,Department of Otorhinolaryngology &Head and Neck from September 2014 to August 2015.All patients were randomly divided into two groups based on operative methods:the nasal packing group and the suture group.The VAS of headache,nasal pain,lacrimation,nasal obstruction and costs related to the operation and post-operative complica-tions were analyzed between the two groups.Results In post-operative symptoms of headache,nasal pain,lacrimation and nasal obstruction,the VAS of the packing group was obviously higher than that of the suture group (P <0.05), and the costs related to the operation was also the same.Conclusion The application of nasal septum suture in septo-plasty can relieve the post-operative suffering of patients and lower the costs related to the operation,which is worthy of promotion.