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刮治粘连法在鼻中隔黏膜下切除术中的效果观察

[Observation on the effect of curettement-adhesive on submucous resection of nasal septum].

作者信息

Wu Shunong, Lu Jian, Xie Yonghan

机构信息

Department of Otolaryngology, the People's Hospital of Jiangmen City, Jiangmen 529051.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002 Oct;16(10):542-3, 545.

Abstract

OBJECTIVE

To explore a method of how to handle the wound in submucous resection of nasal septum (SMR) so as to improve the effect of the operation.

METHOD

83 cases with deviation of nasal septum underwent the operation of submucous resection of nasal septum. Then they were divided into two groups at random. One group as curettement-adhesive group (42 cases) were treated by biological adhesive solvent (BAS) to the wound after submucous resection of nasal septum without a tamping to the nasal cavity. The other group as control group (41 cases) was treated by Vaseline gauze packing. Then the postoperative reactions and effect in each group were compared according to the degree of headache, hyperaemia of nasal mucosa and edema of nasal mucosa.

RESULT

There were a distinct difference of the degree of headache, hyperaemia of nasal mucosa and effect in curettement-adhesive solvent group to the other group.

CONCLUSION

The use of BAS in SMR can simplify the operation and shorten the rehabilitation time. It can relieve the postoperative reaction and reduce syndromes. So it is worth researching.

摘要

目的

探讨鼻中隔黏膜下切除术(SMR)中伤口处理的方法,以提高手术效果。

方法

83例鼻中隔偏曲患者行鼻中隔黏膜下切除术,随机分为两组。刮除-黏附组(42例)在鼻中隔黏膜下切除术后,伤口用生物黏附剂溶剂(BAS)处理,鼻腔不填塞。另一组为对照组(41例),用凡士林纱条填塞。然后根据头痛程度、鼻黏膜充血情况及鼻黏膜水肿情况比较两组术后反应及效果。

结果

刮除-黏附剂溶剂组与另一组在头痛程度、鼻黏膜充血情况及效果方面存在明显差异。

结论

在鼻中隔黏膜下切除术中使用BAS可简化手术并缩短康复时间,能减轻术后反应并减少并发症,值得研究。

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