Malki D, Quine S M, Pfleiderer A G
Department of Ear, Nose and Throat, Edith Cavell Hospital, Peterborough, UK.
J Laryngol Otol. 1999 Aug;113(8):725-7. doi: 10.1017/s0022215100145037.
A study was carried out to compare the effectiveness of nasal splints (in preventing intranasal adhesions) with the morbidity associated with their use in nasal surgery. One hundred and ten patients undergoing a routine nasal operation were randomly allocated into two equal groups, one with splints and the other without. Post-operative pain and discomfort was assessed by a visual analogue scale at 48 hours and a week following surgery when either nasal suction (non-splinted group) or removal of splints was carried out. All patients were examined after six weeks for development of adhesions. Results showed that there was no significant difference in the incidence of adhesions between the splinted and non-splinted patient groups. However, the patients with splints had significantly more pain and nasal discomfort when assessed one week after surgery. It is concluded that the morbidity associated with nasal splints does not justify their use in routine nasal surgery if the aim is to prevent nasal adhesions, but they may still be indicated for enhancing the stability of the septum following septoplasty.
开展了一项研究，比较鼻夹（预防鼻内粘连方面）的有效性与其在鼻外科手术中使用所带来的发病率。110例行常规鼻手术的患者被随机分为两组，每组人数相等，一组使用鼻夹，另一组不使用。术后48小时以及术后一周（此时对未使用鼻夹组进行鼻腔吸引，对使用鼻夹组则取出鼻夹），通过视觉模拟评分法评估术后疼痛和不适情况。六周后对所有患者进行检查，观察粘连情况。结果显示，使用鼻夹组和未使用鼻夹组患者的粘连发生率无显著差异。然而，术后一周评估时，使用鼻夹的患者疼痛和鼻腔不适明显更多。得出的结论是，如果目的是预防鼻粘连，那么鼻夹使用所带来的发病率使其在常规鼻手术中使用并不合理，但在鼻中隔成形术后提高鼻中隔稳定性方面，鼻夹可能仍有指征。
