Suppr超能文献

鼻内手术后指套式鼻腔填塞与美洛赛鼻腔填塞的比较研究:随机对照试验

Comparative Study on Finger Gloves Nasal Packing Vs Merocel Nasal Packing After Intranasal Surgery: Randomized Controlled Trial.

作者信息

Arumugam Govindarajan, Surianarayanan Gopalakrishnan, Padmanabhan Karthikeyan, Vidyan Parvathy, Ravichandran Kirubhagaran

机构信息

Department of ENT, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillaiyarkuppam, 607402 Pondicherry India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4300-4306. doi: 10.1007/s12070-024-04840-3. Epub 2024 Jul 9.

Abstract

Nasal packing is one of the common procedures done following various intranasal surgeries in order to prevent the various complications that can arise post-operatively. Some of the complications noted include bleeding from the nose, septal hematoma, septal abscess and formation of mucosal adhesions. There are different types of nasal packing materials available. Few of the commonly used nasal packing material are ribbon gauzes impregnated with antibiotics, merocel, gel foam, glove fingers and Vaseline gauze. This study compared the effectiveness of Merocel nasal packing with Glove finger nasal packing after Septoplasty and Polypectomy. Merocel, a widely used expandable non-absorbable material, was compared with conventional ribbon gauze packs inserted into glove fingers. Results showed no significant differences in post-operative bleeding, pain, discomfort, mucociliary clearance, or late complications between the two groups. However, a slightly earlier return of mucociliary clearance in patients packed with Glove finger nasal packs was observed. Therefore, it can be concluded that both Merocel and Glove finger nasal packs are equally effective in managing post-operative complications following these procedures.

摘要

鼻腔填塞是各种鼻内手术后常见的操作之一,目的是预防术后可能出现的各种并发症。观察到的一些并发症包括鼻出血、鼻中隔血肿、鼻中隔脓肿和黏膜粘连形成。有不同类型的鼻腔填塞材料可供使用。常用的鼻腔填塞材料有浸渍抗生素的带状纱布、美罗海绵、凝胶海绵、手套指套和凡士林纱布。本研究比较了鼻中隔成形术和鼻息肉切除术后美罗海绵鼻腔填塞与手套指套鼻腔填塞的效果。美罗海绵是一种广泛使用的可膨胀不可吸收材料,与插入手套指套的传统带状纱布填塞物进行了比较。结果显示,两组在术后出血、疼痛、不适、黏液纤毛清除或晚期并发症方面无显著差异。然而,观察到使用手套指套鼻腔填塞的患者黏液纤毛清除恢复略早。因此,可以得出结论,美罗海绵和手套指套鼻腔填塞在处理这些手术后的并发症方面同样有效。

相似文献

2
Systemic and topical antibiotics for chronic rhinosinusitis.用于慢性鼻-鼻窦炎的全身及局部用抗生素
Cochrane Database Syst Rev. 2016 Apr 26;4(4):CD011994. doi: 10.1002/14651858.CD011994.pub2.
3
Internal dressings for healing perianal abscess cavities.用于肛周脓肿腔愈合的内敷料。
Cochrane Database Syst Rev. 2016 Aug 26;2016(8):CD011193. doi: 10.1002/14651858.CD011193.pub2.
4
Double gloving to reduce surgical cross-infection.双层手套可减少手术交叉感染。
Cochrane Database Syst Rev. 2002(3):CD003087. doi: 10.1002/14651858.CD003087.
5
Saline irrigation for allergic rhinitis.用于变应性鼻炎的盐水冲洗
Cochrane Database Syst Rev. 2018 Jun 22;6(6):CD012597. doi: 10.1002/14651858.CD012597.pub2.
6
Short-course oral steroids alone for chronic rhinosinusitis.短期口服类固醇单独用于慢性鼻窦炎。
Cochrane Database Syst Rev. 2016 Apr 26;4(4):CD011991. doi: 10.1002/14651858.CD011991.pub2.
7
Different types of intranasal steroids for chronic rhinosinusitis.用于慢性鼻-鼻窦炎的不同类型鼻内类固醇
Cochrane Database Syst Rev. 2016 Apr 26;4(4):CD011993. doi: 10.1002/14651858.CD011993.pub2.
8
Nasal septal packing: which one?鼻腔填塞:用哪一种?
Eur Arch Otorhinolaryngol. 2012 Jul;269(7):1777-81. doi: 10.1007/s00405-011-1842-1. Epub 2011 Dec 9.
9
Inhaled mannitol for cystic fibrosis.吸入用甘露醇治疗囊性纤维化。
Cochrane Database Syst Rev. 2018 Feb 9;2(2):CD008649. doi: 10.1002/14651858.CD008649.pub3.
10

本文引用的文献

6
Nasal packing and stenting.鼻腔填塞与支架置入
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2009;8:Doc02. doi: 10.3205/cto000054. Epub 2011 Mar 10.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验