内窥镜鼻窦手术术腔填塞方法及填塞物的选择(附769例临床分析)

Nasal packing and packing materials chosing after ESS (with clinical analysis of 769 cases)

为探讨内窥镜鼻窦手术（ESS）术腔不填塞法或填塞法中应用不同填塞物的临床效果，对769例（993侧）ESS患者的临床资料进行回顾性分析。显示：术腔创面未涉及到中鼻甲、下鼻甲和鼻中隔者可选用不填塞法；否则采用不同填塞物填塞术腔。二者均可将术后出血控制在安全范围内。但是为了减轻患者术后痛苦和术腔反应，建议尽量选择不填塞法，如采用填塞法应选用可吸收性止血纱布行创面贴敷填塞。

Nasal packing after endoscopic sinus surgery is an important factor affecting the outcome of the operation. In order to discuss the clinical effect of no packing method and packing with different materials,we summarized our six years packing experiences of 769 cases (993 nasal cavities ) undergoing ESS. The paper disclosed that if operation cavities didn't involve in ndddle turbinate,inferior turbinate and nasal septum,no packing method could be chosen;Otherwise,pack-ing with different materials could be chosen,both methods could control the postoperative hemor-rhage in a safe range. But in order to reducing patients'pain and operation cavities'reaction,it sug-gests operators had better choose no packing mehod or packing with absorable hemostate gauze.