鼻内镜术后两种鼻腔填塞物的疗效比较

目的探讨膨胀海绵(Merocel)和速即纱(Surgicel)两种止血材料对鼻内镜术后鼻腔鼻窦填塞的止血效果。方法对267例鼻内镜术后的患者,分别采用膨胀海绵和速即纱填塞鼻腔,前者72 h后抽出膨胀海绵,后者乃可吸收材料免抽出,观寨患者填塞期间及抽出鼻腔填塞物时出血量及全身和局部的临床表现进行比较。结果速即纱组填塞期间及抽出鼻腔填塞物时出血量较膨胀海绵组少,两者比较,有统计学意义。速即纱组填塞期间患者全身和局部临床不适程度较膨胀海绵组轻微。结论应用速即纱行鼻内镜术后止血,组织相容性好,使用方便,安全,止血效果可靠。

Comparsion of two packing hemostatic materials after functional endoscopic sinus surgery

Aim To discuss the effects of surgicel packed in nasal sinus after functional endoscopic sinus surgery.Methods The merocel and surgicel were respectively packed into the nasal cavity of 267 cases after functional endoscopic sinus surgery.72 hours later,the packed merocel were pulled out.The symptoms such as bleeding from nasal cavity,headache,edema of nasal mucous membrane and so on were observed and compared.Results The patients in surgicel group had less uncomfortableness feeling.The patients of merocel group had more bleeding and uncomfortableness feeling.Conclusion It is convenient and safe to use surgicel to stop bleeding after functional endoscopic sinus surgery.