首页|碘仿纱条与明胶海绵治疗鼻内镜术后鼻腔粘连的效果比较

碘仿纱条与明胶海绵治疗鼻内镜术后鼻腔粘连的效果比较

Comparison of the effects of iodoform gauze and gelatin sponge in the treatment of nasal adhesion after endoscopic sinus surgery

扫码查看
目的 比较碘仿纱条和明胶海绵治疗鼻内镜术后鼻腔粘连的效果.方法 选择 2018 年1 月至 2022 年12 月行鼻内镜术后复查发现的 73 例(87 侧)鼻腔粘连患者,随机将其分为对照组(36 例,43 侧)和治疗组(37例,44侧).两组均行鼻腔粘连分解后,对照组选取明胶海绵作为隔离材料进行治疗,治疗组选取碘仿纱条作为隔离材料进行治疗.比较两组的治疗效果.结果 两组患者的手术时间、出血量比较,差异无统计学意义(P>0.05);治疗组的视觉模拟量表(VAS)评分、治愈率及满意度高于对照组(P<0.05);术后 3 个月,两组的鼻腔鼻窦结局测试 22 条(SNOT-22)评分均降低,且治疗组低于对照组(P<0.05).结论 碘仿纱条和明胶海绵填塞术腔隔离治疗鼻腔粘连均可取得一定治疗效果,但前者的疗效和患者生活质量、满意度优于后者.
Objective To compare the effects of iodoform gauze and gelatin sponge in the treatment of nasal adhesion after endoscopic sinus surgery.Methods Seventy-three patients(87 sides)with nasal adhesion found by reexamination after endoscopic sinus surgery from January 2018 to December 2022 were selected and randomly divided into control group(36 cases,43 sides)and treatment group(37 cases,44 sides).After the decomposition of nasal adhesion in both groups,the control group selected gelatin sponge as the isolation material for treatment,and the treatment group selected iodoform gauze as the isolation material for treatment.The therapeutic effects of the two groups were compared.Results There were no significant differences in operation time and bleeding volume between the two groups(P>0.05);the Visual Analogue Scale(VAS)score,cure rate and satisfaction of the treatment group were higher than those of the control group(P<0.05);at 3 months after surgery,the Sin-Nasal Outcome Test-22(SNOT-22)score of the two groups decreased,and that in the treatment group was lower than the control group(P<0.05).Conclusion Both iodoform gauze and gelatin sponge packing cavity can achieve certain therapeutic effects in the isolation treatment of nasal adhesion,but the former is superior to the latter in terms of curative effect,quality of life and satisfaction of patients.

endoscopic sinus surgerynasal adhesioniodoform gauzegelatin sponge

赵元纲、吴婷、李珍妮、史富东、林茜文

展开 >

武警宁夏总队医院耳鼻喉科,宁夏 银川,750004

鼻内镜手术 鼻腔粘连 碘仿纱条 明胶海绵

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(18)