医用胶在内镜下局限性鼻中隔矫正术中的应用

Application of medical adhesive in limited septoplasty by endoscope

目的 探讨及对比评价医用胶在内镜下局限性鼻中隔矫正术中应用的临床效果.方法 选择行内镜下局限性鼻中隔矫正术患者57例,按随机数字表法分为填塞组及粘合组,填塞组29例予凡士林纱条填塞鼻腔,粘合组28例予医用胶粘合固定鼻中隔黏膜,鼻腔无需填塞.对比研究两组患者术后主要症状（鼻部及头部疼痛、睡眠情况）、体征（渗血量、黏膜水肿）、术后鼻腔处理时不适度（疼痛、出血）及住院时间等指标.结果 粘合组患者术后主要症状、体征及术后鼻腔处理时不适度较填塞组明显减轻,住院时间明显缩短,差异有统计学意义（均P＜0.05）.结论 在内镜下局限性鼻中隔矫正术中应用医用胶粘合鼻中隔黏膜代替鼻腔填塞,可减少手术对患者的创伤,减轻痛苦,疗效满意.

Objective To investigate and evaluate the clinical effect of the application of medical adhesive in limited septoplasty by endoscope. Methods 57 patients were selected to undergo operation of limited septoplasty by endoscope. The patients were divided into packing group and bonding group. The packing group had 29 patients, whose nasal cavity was packed with vaseline gauze. While the bonding group had 28 patients ,their nasal septum mueo- sa was adhesive fixed by medical adhesive, and the nasal cavity without packing. The indexes included the cardinal symptoms（ nasal pain and headaeh, sleep status） , signs （seepage amount of bleeding, mucosal edema）, degree of dis- comfort in nasal cavity processing after operation（ pain and bleeding） and length of stay were compared between the two groups. Results The above indexes in the bonding group were apparently lightened than the packing group and the length of stay was shortened. The differences were statistically significant（ all P 〈 0.05 ）. Conclusion In opera- tion of limited septoplasty by endoscope, the using of medical adhesive replacing nasalpacking could reduce the trauma on patients by operation and lighten the pain. The curative effect is satisfactory and it has excellent clinical application value.