Department of Otolaryngology, Guy's and St Thomas' NHS Foundation Trust, London.
Department of Otolaryngology, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK.
J Laryngol Otol. 2022 Aug;136(8):676-682. doi: 10.1017/S0022215121003698. Epub 2021 Nov 25.
The aim of this study was to perform a systematic review and meta-analysis of existing evidence on the role of hot saline irrigation in patients undergoing functional endoscopic sinus surgery and its impact on the visibility of the surgical field.
A search of PubMed, Cochrane, Ovid databases and Google Scholar was performed.
Three randomised controlled trials were included. Pooled meta-analysis demonstrated a statistically significant better visibility of the surgical field, and a reduction in total blood loss and operating time during functional endoscopic sinus surgery in the hot saline irrigation group compared with the room temperature irrigation group. Subgroup analysis of studies that did not use vasoconstrictors showed a significant reduction in total blood loss and operating time.
This is the first systematic review that addresses hot saline irrigation for haemostasis in functional endoscopic sinus surgery. The results suggest that hot saline irrigation in functional endoscopic sinus surgery for chronic rhinosinusitis may significantly improve visibility of the surgical field, reduce total blood loss by 20 per cent and decrease operating time by 9 minutes. However, there are limitations of the study because of the significant heterogeneity of the methods, quality and size of the studies.
本研究旨在对现有关于功能性内窥镜鼻窦手术中热盐水冲洗作用的证据进行系统评价和荟萃分析，评估其对手术视野可视度的影响。
对 PubMed、Cochrane、Ovid 数据库和 Google Scholar 进行检索。
纳入了 3 项随机对照试验。荟萃分析结果表明，与室温冲洗组相比，热盐水冲洗组的手术视野可视度明显更好，术中总失血量和手术时间更少。未使用血管收缩剂的研究亚组分析显示，总失血量和手术时间显著减少。
这是第一项针对功能性内窥镜鼻窦手术中热盐水冲洗用于止血的系统评价。结果表明，慢性鼻-鼻窦炎患者行功能性内窥镜鼻窦手术时使用热盐水冲洗可能显著提高手术视野可视度，使总失血量减少 20%，手术时间减少 9 分钟。然而，由于研究方法、质量和规模的显著异质性，该研究存在一定局限性。
