鼻中隔缝合在鼻中隔偏曲矫正术中的应用

Application of nasal septal suture in septoplasty

目的探讨鼻中隔缝合在鼻中隔偏曲矫正术中的疗效及安全性。方法 2010年6月至2012年12月南方医科大学附属小榄医院耳鼻咽喉科行62例鼻中隔偏曲矫正术,术后31例采用鼻中隔缝合处理,31例行鼻腔填塞。采用视觉模拟评分法(VAS)对所有患者术后的主观感受进行评分,术后门诊随访,记录患者有无出血、鼻中隔穿孔及鼻腔粘连。结果在术后鼻塞、鼻部疼痛、头痛、溢泪、口干、吞咽困难、睡眠困难等方面,填塞组的VAS评分大于缝合组,差异有统计学意义(P<0.05)。填塞组抽出填塞物时有不同程度的鼻部疼痛及出血,并有3例出现晕厥,术后随访中发现1例鼻出血,2例鼻中隔血肿,1例鼻中隔穿孔,1例鼻腔粘连。缝合组无上述并发症发生。结论鼻中隔缝合在鼻中隔偏曲矫正术中安全、效果可靠,可以替代鼻腔填塞,值得临床推广应用。

Objective To explore the efficacy and safety of nasal septal suture in septoplasty.Methods A total of 62 patients who had undergone septoplasty were randomly divided into two groups：the suturing group （n =31）and the packing group （n =31）.Suturing group were treated with septal suture after septoplasty without nasal packing.Mercel was used for nasal packing after septoplasty in the packing group.The visual analogur scale（VAS）was used to analyze the symptoms of the two groups.Results The clinical symptoms in the suturing group were significantly reduced com-pared with the packing group（P 〈0.05）.The VAS scores of post operative stuffy,nasal pain,headache,dyaphagia, difficult swallowing and sleep disturbance were higher in the packing group than in the suture group（P 〈0.05）.The complication rate of the suturing group was lower than that in the packing group.Conclusion Nasal septal suture has excellent therapeutic effects and deserves further dissemination.