鼻中隔成形术后鼻中隔缝合技术与鼻腔填塞的比较
Nasal septal suture technique versus nasal packing after septoplasty.
作者信息
Yildirim Altan, Yasar Mehmet, Bebek Ali Ihsan, Canbay Ercan, Kunt Tanfer
机构信息
Department of Otorhinolaryngology and Head Neck Surgery, Cumhuriyet University Medical Faculty, Sivas, Turkey.
出版信息
Am J Rhinol. 2005 Nov-Dec;19(6):599-602.
BACKGROUND
The aim of this study was to compare eustachian function and blood gas changes with nasal packing (NP) and nasal septal suturing (NSS) after septoplasty.
METHODS
Eighty patients who have nasal septal deviation and who otherwise are healthy were studied. Forty of these patients had finger glove NPs in their nasal cavities for 48 hours after septoplasty. Another 40 patients had NSS performed after septoplasty. Acoustic tympanometry and pH, P(CO2), and P(O2) analyses of arterial blood were performed preoperatively and 48 hours postoperatively.
RESULTS
We observed a statistically significant increase in middle ear pressure (p < 0.001) and a significant reduction of P(O2) (p < 0.001) and increase of P(CO2) (p = 0.041) in the NP group but no difference in the NSS group, postoperatively.
CONCLUSION
NSS should be preferred as an alternative to intranasal packing.
背景
本研究旨在比较鼻中隔成形术后鼻腔填塞（NP）和鼻中隔缝合（NSS）时的咽鼓管功能及血气变化。
方法
对80例患有鼻中隔偏曲但其他方面健康的患者进行研究。其中40例患者在鼻中隔成形术后鼻腔内放置指套式鼻腔填塞物48小时。另外40例患者在鼻中隔成形术后进行鼻中隔缝合。术前及术后48小时进行鼓室声导抗测试以及动脉血的pH、P（CO2）和P（O2）分析。
结果
术后，我们观察到NP组中耳压力有统计学意义的升高（p < 0.001），P（O2）显著降低（p < 0.001），P（CO2）升高（p = 0.041），而NSS组无差异。
结论
应优先选择鼻中隔缝合替代鼻腔内填塞。
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