角型钛夹在下鼻甲部分切除术中的临床应用.PDFVIP

海南医学2015年2月第26卷第4期 doi:10.3969/j.issn.1003-6350.2015.04.0212 ·临床经验· 角型钛夹在下鼻甲部分切除术中的临床应用 苏天明，王建祥，张 鉴，张建花，伍延安，边成志 ( 中国十九冶集团有限公司职工医院耳鼻咽喉科，四川 攀枝花 617023) 【摘要】 目的 探讨下鼻甲部分切除术后免鼻腔填塞的方法。方法 168例符合下鼻甲部分切除患者行传 统下鼻甲部分切除术，其中98 例(观察组) 以角型钛夹闭合鼻甲创面止血，70 例(对照组)用凡士林油纱条或 Merocel 止血海绵填塞鼻腔止血。比较术后两组患者的鼻堵塞、出血量、咽喉干痛、头痛鼻痛、溢泪、睡眠状况、换 药时患者疼痛等指标。结果 观察组中发生术后出血量多6 例，发生率为6.1% ，对照组中术后抽取纱条时发生 鼻出血量多4 例，发生率为5.7% ，两组比较差异无统计学意义(P0.05 ) ；观察组患者术后的鼻堵塞、咽喉干痛等主 观不适症状优于对照组，两组差异均有统计学意(P0.05) 。结论 下鼻甲部分切除术后以角型钛夹闭合创面止 血，免鼻腔填塞，避免鼻腔填塞带来的痛苦，可提高患者围手术期生活质量。 【关键词】 鼻内镜；下鼻甲部分切除；鼻腔填塞；角型钛夹 【中图分类号】 R765.9 【文献标识码】A 【文章编号】 1003—6350（2015 ）04—0584—03 Clinical application of angle type titanium clip in partial inferior turbinectomy. SU Tian-ming, WANG Jian-xiang, ZHANG Jian, ZHANG Jian-hua, WU Yan-an, BIAN Cheng-zhi. Department of Otorhinolaryngology, th WorkersHospitalofChina19 MetallurgicalCorporation,Panzhihua617023,Sichuan,CHINA 【Abstract】 Objective To discuss the method of avoiding nasal packing after partial inferior turbinectomy. Methods Conventional partial inferior turbinectomy were performed on 168 patients who needed partial inferior tur- binectomy. Among the 168 cases, 98 patients (observation group) were treated with angle type titanium clip to stop turbinate wound bleeding, and 70 patients (control group) were treated with with vaseline gauze or Merocel hemo- static sponge packing to stop nasal bleeding. Postoperative nasal congestion, hemorrhage volume, dry throat pain, headache, nasal pain, epiphora, sleep status and dressing pain of the two groups were compared. Results There were 6 cases of postoperative bleeding (large amount) in observation group, with an incidenc