鼻中隔缝合在鼻中隔矫正术后的临床应用

Clinical application of nasal septal suture in septoplasty

目的评价鼻中隔缝合在鼻中隔矫正术后应用的临床疗效。方法选取40例鼻中隔偏曲患者,随机分成2组。缝合组:术后5-0薇乔线贯穿连续缝合鼻中隔黏膜;填塞组:术后以高膨胀海绵填塞鼻腔。分别于术后第1天、第2天对患者主观不适感以视觉模拟评分法(visual analogue scale,VAS)进行评分,并观察术后鼻中隔血肿、鼻腔粘连等临床指标。结果术后第1天、第2天两组患者在鼻塞、头痛、口干、睡眠困难、吞咽困难5个方面的VAS评分均值比较,差异均有统计学意义(P均<0.05)。两组患者在术后3个月内鼻中隔血肿、鼻腔粘连、感染等方面的发生率比较,差异无统计学意义(P均>0.05)。结论鼻中隔偏曲矫正术后,与鼻腔填塞相比,鼻中隔缝合在降低患者痛苦、提高术后舒适度方面具有明显的优势。

ObjectiveTo evaluate the effect of nasal septal suture for septoplasty.Methods40 patients with nasal septum deviation surgically treated in our department were randomly divided into 2 groups： packing group and suturing group. In the suture group, continuous transfixion suture with 5-0 Vicryl stitch was performed after septoplasty without nasal packing, and highly expansive sponge was used for nasal packing in the packing group. Their subjective discomforts were compared between the two groups by visual analogue scale （VAS） at the first and second postoperative days, and the clinical parameters such as septal hematoma and nasal adhesion were observed.ResultsAt the first and second postoperative days, the differences of average VAS scores in 5 symptoms including nasal congestion, headache, dry mouth, difficulty sleeping and dysphagia between the two groups were statistically significant （all P〈0.05）. The differences of incidence of nasal septum hematoma, nasal adhesion and infection between the two groups within 3 months after operation were statistically insignificant （all P〉0.05）.ConclusionCompared with nasal packing, nasal septal suture has obvious advantages in reducing patients＇ suffering and improving their comfort after nasal septoplasty.