划痕粘合法处理鼻中隔偏曲矫正术创面的疗效观察

目的:探讨在鼻中隔偏曲矫正术中处理手术创口提高疗效的方法。方法:对83例鼻中隔偏曲患者先行鼻中隔粘膜下切除术。然后随机分成:划痕-粘合组:42例。以生物粘合剂(济南产)粘合经划痕的鼻中隔创面粘骨膜,双鼻腔不填塞;对照组:41例。双鼻腔以凡士林纱条填塞压迫手术创面。比较术后反应和疗效。结果:划痕-粘合组术后头痛、局部充血与对照组差异有高度显著性意义(P<0.01),水肿与对照组相比差异无显著性意义(P>0.05);疗效较对照组差异亦有显著性意义(P<0.05)。结论:划痕-粘合法较之传统的填塞法具有可简化手术程序、减少患者术后头痛的发生率、减轻局部组织反应、简化术后护理、减少并发症发生,以及缩短康复时间等优点,值得临床推广。

Observation on the effect of curettement-adhesive on submucous resection of nasal septum

Objective:To explore a method of how to handle the wound in subrnucous resection of nasal septum (SMR) so as to improve the effect of the operation. Method: 83 cases with deviation of nasal septum underwent the operation of submucous resection of nasal septum. Then they were divided into two groups at random. One group as curettement-adhesive group(42 cases) were treated by biological adhesive solvent(BAS) to the wound after sub-mucous resection of nasal septum without a tamping to the nasal cavity. The other group as control group (41 cases) was treated by Vaseline gauze packing. Then the postoperative reactions and effect in each group were compared according to the degree of headache, hyperaemia of nasal mucosa and edema of nasal mucosa. Result: There were a distinct difference of the degree of headache, hyperaemia of nasal mucosa and effect in curettement-adhesive solvent group to the other group. Conclusion: The use of BAS in SMR can simplify the operation and shorten the rehabilitation time. It can relieve the postoperative reaction and reduce syndromes. So it is worth researching.