三种填塞材料在鼻内镜术后术腔填塞效果的临床观察

目的比较三种填塞材料的效果,为临床选择填塞材料提供参考。方法将86例住院行鼻内镜手术的患者随机分为三组,术腔分别填塞凡士林纱条(A组),明胶海棉 凡士林纱条(B组),Meroce(lC组),采用视觉摸拟评分法(VisualAnalogueScale,VAS)评分和记录填塞期和抽取时患者的疼痛程度、鼻渗血情况并进行比较。结果填塞期B组渗血最少,与C组有显著性差异(P<0.01),疼痛感C组最小,但与B组无显著差异;抽除时A组最痛,渗血最多,与另两组有显著差异(P<0.01),B组与C组无差异。结论明胶海棉 凡士林纱条是内镜术后术腔填塞效果好、经济的材料。

Clinical observation on the effect of three genus packing materials for endoscopic sinus surgery

Objective To compare effect of three genus packing materials and offere reference for clinic selection of packing materials. Methods 86 cases undertaken endoscopic sinus surgery were divivted randomly : surgery cavity were packed Vaseline gauze piece (A group), isinglass sponge Vaseline gauze piece (B group), Merocel(C group)by difference , adopted Visual analogue scale graded and noted packed period and took out cases ache degree, nose seeped blood thing and then compared. Results waded period seeped blood in group B was the least, and there was diference with group C(P<0.01), Ache in group C was the least, but there was no significant diference . Feeling pain when taking out packing materials in group A was severe , seeped blood was the most(P<0.01). Conclusion Isinglass sponge plus Vaseline gauze piece is the effect and economic packing materials for endoscopic sinus surgery.