Shi Jian-bo, Yang Qin-tai, Wen Wei-ping, Xu Geng
Department of Otorhinolaryngology, Third Affiliated Hospital, Zhongshan University, Guangzhou 510630, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2003 Jun;38(3):202-5.
To explore the method of reducing bleeding during endoscopic sinus surgery for chronic sinusitis and nasal polyp.
Bleeding during surgery and the effective rate of two groups patients with chronic sinusitis and nasal polyp were compared (68 cases in group A with preoperative treatment, 30 cases in group B without preoperative treatment).
The effective rate between group A(91.2%) and group B (80%) is of significant difference (F = 8.617, P = 0.026); The volume of bleeding during surgery between group A that is (53.2 +/- 41.8) ml and group B that is (97.2 +/- 59.0) ml is of significant difference (F = 27.946, P = 0.002).
Controlling the inflammatory reaction of chronic sinusitis and nasal polyp by preoperative treatment is the most important factor to reduce bleeding while undergoing endoscopic sinus surgery. However, the followings are also important factors to reduce bleeding in endoscopic sinus surgery, such as adequate use of vasoconstrictor in the middle nasal meatus during surgery, the use of deliberate hypotension during surgery, controlling the high risk factors by preoperative treatment and reducing trauma during surgery, etc.
探讨减少慢性鼻窦炎和鼻息肉内镜鼻窦手术中出血的方法。
比较两组慢性鼻窦炎和鼻息肉患者手术中的出血量及有效率（A组68例，术前进行治疗；B组30例，未进行术前治疗）。
A组有效率（91.2%）与B组有效率（80%）差异有统计学意义（F = 8.617，P = 0.026）；A组手术中出血量为（53.2±41.8）ml，B组为（97.2±59.0）ml，两组差异有统计学意义（F = 27.946，P = 0.002）。
术前治疗控制慢性鼻窦炎和鼻息肉的炎症反应是减少内镜鼻窦手术中出血的最重要因素。然而，手术中在中鼻道充分使用血管收缩剂、术中采用控制性低血压、术前治疗控制高危因素以及减少手术创伤等也是内镜鼻窦手术中减少出血的重要因素。
