山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (2): 59-61.doi: 10.6040/j.issn.1673-3770.0.2016.487

• 论著 • 上一篇    下一篇

自制金属圆棒与双极电凝治疗鼻中隔偏曲矫正术中腭大动脉出血的疗效比较

张其昌,张璐璐,张剑伟,倪泽   

  1. 南京大学医学院附属南京鼓楼医院集团宿迁市人民医院耳鼻喉科, 江苏 宿迁 223800
  • 收稿日期:2016-11-21 出版日期:2017-04-16 发布日期:2017-04-16
  • 通讯作者: 张璐璐. E-mail:zhqich-151@163.com

Comparison of self-made metal rod and bipolar coagulation in the treatment of bleomycin-aorta hemorrhage following nasal septum deviation correction.

  1. Department of Otolaryngology, Suqian City Peoples Hospital, Nanjing Drum Tower Hospital Group, Medical School of Nanjing University, Suqian 223800, Jiangsu, China
  • Received:2016-11-21 Online:2017-04-16 Published:2017-04-16

摘要: 目的 探讨自制金属圆棒与双极电凝在鼻中隔矫正术中腭大动脉出血止血的疗效。 方法 选取2013年5月至2016年8月住院行鼻中隔矫正手术的患者60例,符合入选标准的患者按照入院顺序,采用随机数字表法分为两组,A组(30例)采用圆棒砸平上颌骨棘突腭大动脉处,B组(30例)采用双极电凝止血上颌骨棘突腭大动脉处。比较两组腭大动脉出血量、止血时间及两组因腭大动脉出血形成血肿的例数。 结果 A组患者止血时间为(1.93±0.94)min;B组止血时间为(5.96±1.62)min。A组出血量为(25.5±10.5)mL, B组为(72.0±17.6)mL。 A组未出现血肿,B组血肿3例。 结论 自制金属圆棒砸平鼻中隔上颌骨鼻棘腭大动脉处止血时间较双极电凝组少,出血量少,术后腭大动脉继发性出血少,经济性高,值得在临床上推广应用。

关键词: 腭大动脉, 鼻中隔偏曲, 手术, 止血

Abstract: Objective To explore the effect of self-made metal rod and bipolar electrocoagulation in palate aorta hemostasis during nasal septum correction. Methods A total of sixty patients who underwent nasal septum orthopedic surgery in our hospital from May 2013 to August 2016 were randomly divided into two groups according to the order of admission. Group A(n=30)was treated with a round rod, which was used to punch the maxillary palatine artery. Group B(n=30)was treated with bipolar electrocoagulation to stop bleeding of the maxillary palatine artery. The amount of bleeding and hemostasis time of the two groups were compared. Results The hemostasis cost 1.93±0.94 min in group A and 5.96±1.62 min in group B, respectively. Group A had bleeding(25.5 amp 10.5)mL and group B had(72 amp 17.6)mL. No one had hematoma in group A and 3 had hematoma in group B. Conclusion The self-made metal rod for palate aorta hemostasis during nasal septum correction has advantages of less blood loss, less secondary hemorrhage of the posterior palate artery and high economy, and it is worthy of promotion in the clinic application.

Key words: Nasal septum deviated, Hemostasis, operation, Palate aortic

中图分类号: 

  • R765.3
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