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目的探讨鼻中隔成形术中鼻中隔缝合法与鼻腔填塞法的效果比较。方法 2014年9月至2015年8月延边大学附属医院耳鼻咽喉科收治鼻中隔偏曲患者95例,均行鼻中隔成形术,将患者随机分为鼻腔填塞组及鼻中隔缝合组,比较两组患者术后头痛、鼻部胀痛、流泪及鼻塞症状的VAS评分,以及手术费用及术后并发症的发生情况。结果在术后头痛、鼻部胀痛、流泪及鼻塞等方面,填塞组的VAS评分明显高于缝合组,差异具有统计学意义(P<0.05),鼻腔填塞组手术相关费用较鼻中隔缝合组高。结论鼻中隔缝合法在鼻中隔偏曲成形术中的应用可以减轻患者的术后痛苦,费用相对低廉,值得推广。
Objective To compare the effectiveness of nasal septum and nasal packing in nasal septoplasty. Methods From September 2014 to August 2015, 95 cases of nasal septal deviation were treated in Department of Otolaryngology, Yanbian University Affiliated Hospital. All patients underwent nasal septoplasty. Patients were randomly divided into nasal packing group and nasal septum group. After operation, Headache, nasal pain, crying and nasal congestion symptoms VAS score, as well as the cost of surgery and postoperative complications. Results The postoperative VAS score of the stuffing group was significantly higher than that of the suture group in terms of postoperative headache, nasal pain, tearing and nasal obstruction (P <0.05), and the surgery related costs in the nasal packing group were higher than those in the nasal septum . Conclusion The application of nasal septum suturing in nasal septum deviation angioplasty can reduce postoperative pain, the cost is relatively low, it is worth to promote.