气囊导尿管在鼻腔鼻窦肿瘤切除术后术腔填塞中的应用

doi:10.6040/j.issn.1673-3770.0.2020.075

摘要/Abstract

摘要： 目的探讨气囊导尿管在经鼻内镜鼻腔鼻窦肿瘤切除术后鼻腔填塞中的应用效果。方法选取行鼻内镜鼻腔鼻窦肿瘤手术患者60例,分为观察组和对照组进行比较。观察组32例采用气囊导尿管联合填塞明胶海绵填塞术腔,对照组28例采用填塞明胶海绵。结果观察组的术后疼痛、鼻阻程度VAS量表评分及鼻心反射个数均低于对照组,差异有统计学意义(P<0.05);两组间出血量差异无统计学意义(P>0.05)。结论气囊导尿管联合明胶海绵在鼻内镜鼻腔鼻窦肿瘤切除术后鼻腔填塞中临床效果优势明显。

关键词: 鼻腔鼻窦肿瘤, 鼻腔填塞, 气囊导尿管, 明胶海绵

Abstract: Objective The aim of this study was to assess the utility of an air sac urinary catheter after endoscopic nasal surgery with a resection of a sinonasal tumor. Methods The clinical data of 60 patients treated with endoscopic nasal surgery with resection of sinonasal tumors in the Department of Otorhinolaryngology-Head and Neck Surgery in our hospital from March 2016 to January 2019 were retrospectively analyzed and summarized. The clinical outcomes of 32 cases of nasal packing with an air sac urinary catheter and gelatin sponge in the observation group and 28 cases with conventional gelatin sponge in the control group were compared. Results The visual analogue scale(VAS)score was significantly lower in the observation group than in the control group for postoperative pain and nasal resistance degree after surgery(P<0.05). The incidence of nasal-cardiac reflex at the pack removal time was higher in the control group(P<0.05). There was no significant difference in blood loss between the two groups(P>0.05). Conclusion Our results indicate significant advantages in combination air sac urinary catheter with gelatin sponge in nasal packing after endoscopic nasal surgery with a resection of sinonasal tumor.

Key words: Sinonasal tumor, Nasal packing, Air sac urinary catheter, Gelatin sponge

中图分类号:

R765.9

高天喜,李娜,李桔林,张阿玲,祝康,陈敬国,孙斌. 气囊导尿管在鼻腔鼻窦肿瘤切除术后术腔填塞中的应用[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 11-15.

GAO Tianxi, LI Na, LI Julin, ZHANG Aling, ZHU Kang, CHEN Jingguo, SUN Bin. Application of air sac urinary catheter in nasal packing after endoscopic nasal surgery with a resection of sinonasal tumor[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 11-15.

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