吸收性止血绫及藻酸钙联合应用于功能性内镜鼻窦外科手术术腔填塞的研究

Study of Using Adsorbe Stanching Satin and Solbagon together to Pack Nose following Functional Endoscopic Sinus Surgery

目的:探讨功能性内镜鼻窦外科手术(FESS)后鼻腔填塞方法的选择。方法:将326例行FESS手术的患者随机分成3组,3组患者术后分别选用不同的方法填塞鼻腔,A组:止血绫+藻酸钙;B组:单用藻酸钙,C组:单用止血绫。比较各组于填塞过程中及取出填塞物过程中的鼻出血发生率,以及在填塞过程中中至重度不适感的发生率。结果:A组填塞鼻腔的止血效果好,该组患者在填塞过程及取出填塞物过程中鼻出血发生率均较B组或C组低(P<0.05),鼻腔填塞过程中中至重度不适发生率,A组与B组或C组无明显差异。结论:联合应用止血绫及藻酸钙是FESS手术后值得推荐的鼻腔填塞方法。

Objective：To discuss how to select appropriate nasal packing material following functional endoscopic sinus surgery （FESS）. Methods：A total of 326 cases undergoing FESS surgery were divided into 3 groups randomly according to their packing materials, Group A： ASS ＋ Solbagon, Group B： ASS and Group C： Solbagon. Epistaxis rate during the nasa/packing were compared among the groups. Epistaxis rate that occured when the nasal packing material were tacken out were compared among the groups. Middling to serious discomfort rate during the nasal packing were compared among the groups. Results：The material used by the Group A patients had a better effect in controlling haemorrhage comparing that used by Group B or Group C, not only in the course of the nasal packing（P〈0.05） ,but also in the course of taking out the nasal packing（P〈0.05）. And the Group A patients had not more discomfort during the nasal packing comparing the Group B or Group C（P〉0.05）. Conclusion： The method using ASS and Solbagon together is worthy to be recommended in the nasal packing following FESS surgery.