对鼻中隔术后填塞的评价

来源 :国外医学.耳鼻咽喉科学分册 | 被引量 : 0次 | 上传用户:tonyyuhua
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鼻中隔手术后一般均采用鼻腔内填塞几士林纱条以压迫止血,病人常有疼痛等不良主诉。能否术后既不填塞又能防止出血等合并症?作者采取了鼻中隔术后病人不填塞,而用3-0的聚乙交酯纤维(Dexon)缝合,并设对照组术后凡士林纱条填塞者,结论是前者明显优于后者。53例18岁以上有鼻中隔病变的做了手术,将病人随机分为两组:甲组(27例)术后鼻内填塞;乙组(26例)术后用3-0Dexon行鼻中隔绗被式缝合。有3例在术后24h内有出血者,其中1例为填塞组,2例为缝合组,均未做再填塞而止血。在术后次日晨对主观 After the nasal septum surgery are generally used within the nasal packing Shihlin gauze to stop the bleeding, the patient often has bad complaints such as pain. Can postoperatively not only fill but also to prevent complications such as bleeding? The authors took the nasal septum after the patient is not stuffed, but with 3-0 polylactide fiber (Dexon) suture, and the control group postoperative Vaseline gauze Obstruction, the conclusion is that the former is obviously better than the latter. Fifty-three patients with nasal septum lesions over the age of 18 underwent surgery. The patients were randomly divided into two groups: Group A (27 cases) postoperative intranasal stuffing; Group B (26 cases) with 3-0Dexon postoperative nasal septum quilts Stitched. Three patients had hemorrhage within 24 hours after operation, of which 1 was filled and 2 were sutured. On the morrow after the subjective on the morning
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