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目的:比较鼻内镜手术后爱康肤银敷料(AquacelAg)与膨胀海绵填塞术腔的疗效,指导临床选择合适的术后填塞物。方法:对24例慢性鼻窦炎患者在鼻内镜术后应用爱康肤银敷料填塞右侧鼻腔(爱康肤银敷料组),并以膨胀海绵填塞左侧鼻腔作为对照(膨胀海绵组);观察、评价填塞期及抽取时两侧鼻腔的舒适程度及渗血量,并比较抽取的难易程度,及术后1周鼻黏膜水肿情况。结果:爱康肤银组填塞期与抽取时患者不适度比膨胀海绵组轻(P<0.01);填塞及抽取时2组出血量的差异无统计学意义(P>0.05);术后1周鼻黏膜水肿2组比较差异无统计学意义(P>0.05)。结论:爱康肤银敷料是一种良好的鼻内镜术后填塞材料。
Objective: To compare the curative effect of AquacelAg and expanded sponge packing after endoscopic sinus surgery, and to guide the clinical choice of appropriate postoperative stuffing. Methods: Twenty-four patients with chronic sinusitis were treated with Aikang skin silver dressing after nasal endoscopic surgery. The right nasal cavity (Aikang skin silver dressing group) was inflated and the left nasal cavity was inflated with inflation sponge (control group) Period and extraction of nasal cavity on both sides of the comfort level and the amount of oozing, and compared the ease of extraction, and 1 week after nasal mucosa edema. Results: The patients in Aikang skin silver group had a lower degree of discomfort than those in the sponge group (P <0.01). There was no significant difference in bleeding volume between the two groups (P> 0.05) There was no significant difference in edema between the two groups (P> 0.05). Conclusion: Aikang skin silver dressing is a good endoscopic stuffing material.