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目的:探索鼻内镜下鼻窦鼻腔手术后鼻腔不填塞的可行性。方法:将临床诊断为慢性鼻炎-鼻窦炎、鼻窦疾病的患者随机分为两组:实验组70例,鼻内窥镜下鼻窦鼻腔手术后鼻腔不予填塞;对照组30例,在行鼻内窥镜下鼻窦开放等手术后给予皮康霜纱条填塞进行对照。结果:实验组70例中仅有1例发生术后出血,发生率为1.45%,对照组30例中在术后抽取纱条时发生鼻出血2例,发生率为6.6%,两组比较实验组出血并不高于对照组。术后患者主观感觉两组有显著性差异,实验组感觉良好者明显优于对照组,术后生命体征变化两组比较有显著性差异,实验组明显小于对照组,术后鼻腔近期的变化有明显差异,但较远期鼻腔鼻窦变化无显著性差异。结论:鼻内窥镜下鼻腔-鼻窦手术后鼻腔不填塞发生鼻出血的机率较小,不填塞可使患者获得较为轻松而舒适的术后状态和感觉,避免术后抽取纱条的痛苦或抽取纱条时发生再次出血的可能,使患者生命体征更加平稳且变化小,缩短了住院时间,因此鼻内镜下鼻窦鼻腔手术后鼻腔不填塞是可行的。
Objective: To explore the nasal endoscopic nasal sinus surgery without nasal packing feasibility. Methods: The patients with chronic rhinosinusitis and sinusitis were randomly divided into two groups: experimental group (n = 70), nasal cavity under nasal endoscopic sinus surgery without packing, control group (n = 30) Under the endoscopic sinus open after operation such as skin Peel Cream gauze packing control. Results: Only 1 out of the 70 cases in the experimental group had postoperative bleeding, the incidence was 1.45%. In the control group, 2 cases of nosebleed occurred in the 30 cases after the operation, the incidence rate was 6.6% Bleeding was not higher than the control group. Postoperative patients subjective feeling of two groups were significantly different, the experimental group was significantly better than the control group feeling good, postoperative changes in vital signs in both groups were significantly different, the experimental group was significantly less than the control group, postoperative nasal changes in the recent Significant differences, but more significant changes in nasal sinus than no significant difference. CONCLUSIONS: Nasal bleeding after nasal sinus surgery under nasal endoscopic sinus surgery is less likely. Non-tamponade patients can obtain a more relaxed and comfortable postoperative condition and feeling, and avoid the pain or extraction Sliver re-bleeding may occur, the patient’s vital signs more stable and small changes, shorten the length of stay, so nasal endoscopic nasal sinus surgery after nasal packing is feasible.