目的 比较鼻中隔矫正术后鼻中隔缝合和鼻腔填塞的效果.方法 回顾性分析2016年1月～2017年1月西京医院耳鼻咽喉头颈外科常年性血管运动性鼻炎合并鼻中隔偏曲患者100例临床资料,根据鼻中隔矫正术后治疗方式分为鼻中隔缝合组(50例)和鼻腔填塞组(50例).比较两组临床症状VAS评分、临床疗效以及术后24h内鼻腔渗血量、术后鼻中隔血肿、鼻粘连情况.结果 鼻腔填塞组鼻部疼痛、头痛、鼻塞、流泪、耳鸣/耳闷、吞咽困难、睡眠困难以及术后清理鼻腔时疼痛不适感VAS评分均高于鼻中隔缝合组,差异有统计学意义(P＜0.05).两组临床治疗总有效率、术后24 h内鼻腔渗血量、术后鼻中隔血肿、鼻粘连发生率比较,差异无统计学意义(P＞0.05).结论 鼻中隔矫正术后鼻中隔缝合和鼻腔填塞临床治疗效果无明显差异,但是鼻中隔缝合疼痛感较鼻腔填塞轻,值得临床推广应用.%Objective To compare the effects of septum suture and nasal cavity filling after septum diorthosis.Methods The clinical data of 100 patients with perennial angiokinesis rhinitis combined with septal deviation in Department of Otorhinolaryngology Head and Neck Surgery,Xijing Hospital,Air Force Medical University from January 2016 to January 2017 were retrospectively analyzed.According to the treatment after septum diorthosis,patients were divided into septum suture group (50 cases) and nasal cavity filling group (50 cases).The VAS scores of clinical symptoms,clinical effects,nasal bleeding within 24 h after surgery,hematoma of nasal septum after surgery,ankylorrhinia of the two groups were compared.Results The VAS scores of nasal pain,headache,nasal obstruction,lacrimation,tinnitugear fullness,dysphagia,dyscoimesis,pain uncomfortable of clean up the nasal cavity after surgery of the nasal cavity filling group were higher than those of the septum suture group,the differences were statistically significant (P ＜ 0.05).The total effective rate,nasal bleeding within 24 h after surgery,hematoma of nasal septum after surgery,ankylorrhinia between the two groups had no statistically significant differences (P ＞ 0.05).Conclusion The clinical treatment effect between septum suture and nasal cavity filling after septum diorthosis has no obviously difference,but the pain of septum suture is lighter than nasal cavity filling treatment,which is worthy of clinical application.
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