硅胶片在鼻中隔偏曲矫正术中的应用

目的 研究硅胶片在鼻中隔偏曲矫正术中的应用。方法 30例患者行鼻中隔矫正术，15例术后将硅胶片剪成上窄下宽近似梯形状，将其卷成圆筒状，从总鼻道放入，然后将其展开贴敷于鼻中隔黏膜面，用膨胀海绵填塞。结果 15例采用硅胶片贴敷的鼻中隔黏膜光滑平直，平均愈合时间4.1d。术后无并发症发生。未采用硅胶片贴敷的黏膜出现溃疡或糜烂、结痂，平均愈合时间15.4d。随访5个月～1年均未见穿孔。结论 硅胶片具有保湿作用，有利于黏膜生长，对鼻中隔黏膜还具有支撑、塑形作用。此外，硅胶片柔软，对鼻腔刺激小，患者痛苦小，具有很好的推广应用价值。

Silica film in the correction of deviation of the nasal septum

Objective To study the effect of silica film in the correction of deviation of the nasal septum. Method 30 cases underwent correction. Of them, 15 cases used slica films and 15 did not. Result In the silicone-chip group, the mucosa of the nasal septum was smooth and flat and healed in 4.1 days on average without post-operative complications. While in the non-silicone film group, the mucosa had ulcers or erosion and ceusts and healed in15.4 days on average. Followed up for 5 months to 1 year， no perforation was found. Conclusion Silicone film has a moisturizing effect on the mucous membrane, also it can support and shape the septal mucosa, and it produces little pain for patients because of its softness.