鼻内窥镜下鼻中隔缝合术在鼻中隔偏曲矫正术中的应用研究

The application of septal suture in nasal septal correction in nasal endoscope

目的探讨鼻内窥镜下鼻中隔缝合术在鼻中隔偏曲矫正术中的应用效果。方法选择我院2016年1月—2017年9月收治的50例鼻中隔偏曲患者为观察对象,随机分为2组,分别为缝合组和填塞组。缝合组患者于鼻内窥镜下鼻中隔偏曲矫正术后行鼻中隔缝合术,填塞组矫正术后使用传统填塞。对比2组患者手术之后的头痛、鼻部疼痛、鼻塞、耳鸣、睡眠困难等方面的VAS评分和住院时间、住院费用及出血量。结果缝合组患者手术之后的头痛、鼻部疼痛、鼻塞、耳鸣、睡眠困难VAS评分比填塞组低,差异具有统计学意义(P<0.05);缝合组患者的住院时间、住院费用比填塞组要低及出血量均比对照组少,差异具有统计学意义(P<0.05)。结论在鼻中隔偏曲矫正术中使用鼻中隔缝合术患者的术后疼痛较轻且出血量较少,并且缩短了住院时间,降低住院费用,值得临床推广应用。

Objective To explore the application of nasal septal suture in nasal septal correction in nasal endoscopic surgery. Methods 50 patients with septal deviation in the septum were selected from January 2016 to September 2017. The patients were randomly divided into two groups：suture group and filling group. Patients with suture group were treated with nasal septal suture after endoscopic nasal septal correction, and the use of traditional fillings was performed. The VAS score and hospitalization duration, hospitalization expenses and blood loss were compared with those of the two groups after surgery,including headache, nasal pain, nasal congestion,tinnitus, and difficulty in sleeping. Results Suture group of patients after surgery of headaches, pain in the nose, nasal congestion, tinnitus, sleep difficulty of VAS ~core lower than tamponade group, the data statistically significant difference （P〈0.05） ; Suture group of patients with length of hospital stay, shorter than patients tamponade group was obviously, and hospitalization expense is lower than tamponade group, and blood loss less than control group,the data statistically significant difference （P〈0.05）. Conclusion The nasal septum deviation correction technique used in nasal septum suture technique has become possible,less postoperative pain of patients,and to avoid shorten the patient＇s hospital stay,reduced patients＇ hospitalization expenses, and less blood loss, worth clinical promotion use.