中鼻甲缝合技术预防中鼻甲外漂及中鼻道粘连闭塞的疗效
发布时间：2018-07-25 20:01
【摘要】：目的:探讨中鼻甲缝合技术对于功能性鼻内镜手术(FESS)术后中鼻甲外漂及中鼻道粘连闭塞的预防效果。方法:按EP3OS2007标准诊断为慢性鼻窦炎行FESS手术患者60例,随机分为两组,每组30例。A组患者在完成FESS术后行双侧中鼻道填塞,B组患者在FESS术后行双侧中鼻道填塞并双侧中鼻甲与鼻中隔缝合。术后半年复查鼻内镜及鼻窦CT,两组各失访1例,资料完整者58例,对比两组患者发生中鼻甲外漂、中鼻道粘连及鼻窦炎复发的情况。结果:两组各29例(58侧),术后中鼻甲外漂A组10侧,B组2侧,两组差异有显著性(P0.05);中鼻道粘连A组8侧,B组2侧,两组差异有显著性(P0.05);术后复查鼻窦CT发现鼻窦炎复发或残留A组13侧,B组4侧,两组差异有显著性(P0.05)。结论:中鼻甲与鼻中隔缝合技术简单、实用,利于FESS术后保持中鼻甲位置稳定性、形成持久开放的中鼻道及预防鼻窦炎复发。
[Abstract]:Objective: to investigate the prevention effect of middle turbinate suture technique on middle turbinate bleach and middle nasal canal adhesion occlusion after functional endoscopic sinus surgery (FESS). Methods: according to EP3OS2007 criteria, 60 patients with chronic sinusitis undergoing FESS operation were randomly divided into two groups. 30 patients in group A underwent bilateral middle nasal canal tamponade after FESS. Group B underwent bilateral middle nasal canal tamponade and bilateral middle turbinate and nasal septum suture after FESS. Half a year after operation, nasal endoscopy and sinus CTS were reexamined. One case was lost in each group, 58 cases had complete data. The incidence of middle turbinate bleach, middle nasal canal adhesion and recurrence of sinusitis were compared between the two groups. Results: there were 29 cases (58 sides) in each group, 2 sides in group B, 10 sides in group A, 2 sides in group B (P0.05), 2 sides in group A, 2 sides in group B, 8 sides in group A, 2 sides in group B, 2 sides in group A and 2 sides in group B, respectively. There was a significant difference between the two groups (P0.05); after reexamination of sinus CT found recurrent or residual sinusitis in group A 13 sides of B group 4 sides, there was a significant difference between the two groups (P0.05). Conclusion: the technique of suture between middle turbinate and nasal septum is simple and practical, which is helpful to maintain the stability of middle turbinate after FESS, to form a permanent open middle nasal canal and to prevent the recurrence of sinusitis.
【作者单位】： 首都医科大学附属北京世纪坛医院耳鼻咽喉头颈外科;
【分类号】：R765.9
[Abstract]:Objective: to investigate the prevention effect of middle turbinate suture technique on middle turbinate bleach and middle nasal canal adhesion occlusion after functional endoscopic sinus surgery (FESS). Methods: according to EP3OS2007 criteria, 60 patients with chronic sinusitis undergoing FESS operation were randomly divided into two groups. 30 patients in group A underwent bilateral middle nasal canal tamponade after FESS. Group B underwent bilateral middle nasal canal tamponade and bilateral middle turbinate and nasal septum suture after FESS. Half a year after operation, nasal endoscopy and sinus CTS were reexamined. One case was lost in each group, 58 cases had complete data. The incidence of middle turbinate bleach, middle nasal canal adhesion and recurrence of sinusitis were compared between the two groups. Results: there were 29 cases (58 sides) in each group, 2 sides in group B, 10 sides in group A, 2 sides in group B (P0.05), 2 sides in group A, 2 sides in group B, 8 sides in group A, 2 sides in group B, 2 sides in group A and 2 sides in group B, respectively. There was a significant difference between the two groups (P0.05); after reexamination of sinus CT found recurrent or residual sinusitis in group A 13 sides of B group 4 sides, there was a significant difference between the two groups (P0.05). Conclusion: the technique of suture between middle turbinate and nasal septum is simple and practical, which is helpful to maintain the stability of middle turbinate after FESS, to form a permanent open middle nasal canal and to prevent the recurrence of sinusitis.
【作者单位】： 首都医科大学附属北京世纪坛医院耳鼻咽喉头颈外科;
【分类号】：R765.9
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相关期刊论文 前3条
1 庞文英;王媛;银兴贵;;鼻内镜下治疗复发性Ⅲ型慢性鼻-鼻窦炎鼻息肉的临床疗效[J];中外医学研究;2015年29期
2 曾冬前;翁永彩;高炜e，
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