首页|鼻中隔连续贯穿缝合在鼻内镜下鼻中隔矫正术中的临床应用

鼻中隔连续贯穿缝合在鼻内镜下鼻中隔矫正术中的临床应用

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目的 探讨鼻中隔连续贯穿缝合在鼻内镜下鼻中隔矫正术中的临床应用效果和优劣,为鼻内镜下鼻中隔矫正术提供参考.方法 在含山县中医院住院治疗的60例患者中,随机分为两组,其中一组采用传统鼻腔填塞法,另一组采用鼻中隔连续贯穿缝合技术,比较两组患者的手术效果、手术时间、失血量及术后并发症等指标.在术后24h,使用视觉模拟评分(VAS)来评估鼻塞、头痛、耳闷、溢泪、吞咽障碍和睡眠质量.结果 采用鼻中隔连续贯穿缝合技术的患者手术效果、手术时间、失血量无明显差异(P>0.05).在术后24h的VAS评估中,采用鼻中隔连续贯穿缝合技术的患者表现出更好的鼻塞缓解、头痛减轻、耳闷减轻、溢泪减少、吞咽障碍缓解和睡眠质量改善(P<0.05).结论 在鼻内镜下鼻中隔矫正术中,与鼻腔填塞相比,鼻中隔连续贯穿缝合表现更优,其操作简便、恢复期短,且能够有效缓解患者的疼痛及不适感,值得在临床应用中推广.
Clinical application of continuous septal penetration suture in endoscopic nasal septal correction
Objective To explore the clinical application effects and advantages of continuous suture of nasal septum in nasal septum correction under nasal endoscopy. Method Sixty patients treated in Hanshan County Hospital of Traditional Chinese Medicine were randomly divided into two groups,one group underwent traditional nasal packing and the other group underwent continuous suture of nasal septum. The surgical effect,operation time,bleeding volume and postoperative complications were compared between the two groups. Visual analogue scale (VAS) was used to evaluate nasal congestion,headache,ear fullness,tearing,swallow disturbance and sleep quality 24 hours after surgery. Results There was no significant difference in surgical effect,operation time and bleeding volume between two groups (P>0.05). In the VAS evaluation 24 hours after surgery,patients who underwent continuous suture of nasal septum showed better relief of nasal congestion,headache,ear fullness,tearing,swallowing difficulty and improved sleep quality (P<0.05). Conclusion Continuous suture of nasal septum is an effective method in nasal septum correction under nasal endoscopy with the advantages of convenience,short recovery period and effective relief of patient's pain and discomfort,which is worthy of promotion in clinical practice.

nasal septal deformitycontinuous suturenasal endoscopynasal septum correction

郝安武

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安徽省含山县中医医院耳鼻咽喉科 238100

鼻中隔偏曲 连续贯穿缝合 鼻内镜 鼻中隔矫正

2024

中国中西医结合耳鼻咽喉科杂志
中国中西医结合学会

中国中西医结合耳鼻咽喉科杂志

CSTPCD
影响因子:0.7
ISSN:1007-4856
年,卷(期):2024.32(6)