山东大学耳鼻喉眼学报

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减少鼻腔通气对鼻内镜术后创面愈合的影响

岳利华1, 蒋志毅1,林功标2,程金妹2, 易自翔2   

  1. 1. 浙江省嘉兴市第一医院耳鼻咽喉科, 浙江 嘉兴 314000;2. 福建医科大学附属第一医院耳鼻咽喉-头颈外科, 福建 福州 350004
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-08-24 发布日期:2007-08-24
  • 通讯作者: 岳利华

Effects of reducing nasal airflow on wound healing after endoscopic sinus surgery

YUE Li-hua1,JIANG Zhi-yi1, LIN Gong-biao2,CHENG Jin-mei2,YI Zi-xiang2   

  1. 1. Department of Otorhinolaryngology, Jiaxing First People′s Hospital, Jiaxing 314000;2. Department of Otolaryngology & Head and Neck Surgery, Affiliated First Hospital of Fujian Medical University
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-08-24 Published:2007-08-24
  • Contact: YUE Li-hua

摘要: 目的:采用前鼻孔放置棉球的方法减少鼻腔通气,观察鼻内镜术后创面愈合的情况。方法:2005年1月~2006年1月我们为192例慢性鼻窦炎患者行功能性鼻内镜手术。其中A组30例患者在取出鼻腔填塞物后于前鼻孔放置棉球以减少鼻腔通气;在余下的162例中以鼻窦炎类型为配对标准1∶1抽取未放置棉球的患者30例为B组。分析AB两组在术后1、2、4、12周的鼻内镜检查结果。结果:术后4周,A组鼻腔痂皮明显少于B组。术后12周,A组鼻黏膜水肿和囊泡少于B 组。A组有11侧(单侧9例,双侧1例)鼻腔轻度粘连,B组22侧(单侧10例,双侧6例)轻度粘连,2侧(均为单侧)重度粘连,差异有统计学意义(P<0.05)。相关性分析显示,术后4周内鼻腔痂皮多者,术后12周易发生鼻腔粘连、鼻黏膜水肿及囊泡形成。结论:鼻内镜手术患者在取出鼻腔填塞物后,于前鼻孔放置棉球是减少鼻腔痂皮形成简单而有效的方法,有利于术腔创面愈合。

关键词: 鼻窦炎, 鼻内镜外科手术, 粘连

Abstract: Objective: To study the effects of reducing nasal airflow by placing a cotton ball in the anterior nostrils on wound healing after endoscopic sinus surgery. Methods: Among 192 patients treated with functional endoscpic sinus surgery, 30 patients who received a cotton ball placed in the anterior nostrils after removing the nasal stents were put in group A. Another 30 patients who did not receive a cotton ball placed in the anterior nostrils after removing the nasal stents in the same period were put in group B. The nasal endoscopic recordings at week 1, 2, 4 and 12 after endoscopic sinus surgery were analyzed. Results: Nasal crusts in group A were obviously fewer than in group B at week 4 after surgery. At week 12, the mucosal edema and cyst formation of the nasal cavity in group A were less than in group B. There were 11 cases with mild adhesions in group A and 22 cases with mild adhesions and 2 cases with severe adhesions in group B. Differences between the two groups were significant (P<0.05). Patients with severe nasal crusts at week 4 after surgery had more severe adhesions, mucosal edema and cyst formation in the nasal cavity at week 12. Conclusions:Anterior nostril cotton placement after removing nasal stents is a simple and effective method to reduce nasal crust formation, which is a benefit to surgical wound healing for patients after endoscopic sinus surgery.

Key words: Sinusitis, Nasal endoscopic surgical procedures, operative, Adhesion

中图分类号: 

  • R765.4
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