自制鼻腔填塞物行鼻腔鼻窦手术填塞效果的观察

A Effect Observation of Gelatin Sponge Packing after Endoscopic nasal Surgery

目的观察鼻腔鼻窦手术后用自制明胶海绵填塞物行术区填塞的效果,寻找有效、经济的鼻腔填塞材料。方法 205例鼻腔鼻窦手术,术后用自制明胶海绵+抗生素与激素软膏填塞术腔,观察填塞效果。结果填塞物对控制术区出血的效果:填塞有效:113例,占55.1%;填塞效果不佳:87例,占42.4%;填塞失败:5例,占2.4%。填塞物对局部抗炎抗水肿的效果:抗炎有效:147例,占71.7%,效果不明显:46例,占22.4%,无效或加重:12例,占5.9%。结论自制明胶海绵填塞物进行术腔填塞,达到止血和减少疼痛效果较满意.

Objective To observe the hemostatic effect of gelatin sponge packing after endoscopic nasal surgery. Methods 205 cases of endoscopic sinus surgery were reviewed. Gelatin sponge was used to stuff in the nasal cavity after surgery. Bleeding loss and discomfort were observed. Results In bleeding effect, 113 cases were definitely effective at 55.3%. 87 cases were partly effective at 42.4%. 5 cases were ineffective at 2.3%. In therapeutic effect, 147 cases＇displayed an anti-inflammation effect at 71.7%, 46 displayed no obvious effect at 22.4%, 12 showed on effect at 5.9%. Conclusion Gelatin sponge could be used after sinus surgery for hemostasis, and it can reduce bleeding and painful feeling.