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目的:探讨在鼻中隔偏曲矫正术中处理手术创口提高疗效的方法。方法:对83例鼻中隔偏曲患者先行鼻中隔粘膜下切除术。然后随机分成:划痕-粘合组:42例。以生物粘合剂(济南产)粘合经划痕的鼻中隔创面粘骨膜,双鼻腔不填塞;对照组:41例。双鼻腔以凡士林纱条填塞压迫手术创面。比较术后反应和疗效。结果:划痕-粘合组术后头痛、局部充血与对照组差异有高度显著性意义(P<0.01),水肿与对照组相比差异无显著性意义(P>0.05);疗效较对照组差异亦有显著性意义(P<0.05)。结论:划痕-粘合法较之传统的填塞法具有可简化手术程序、减少患者术后头痛的发生率、减轻局部组织反应、简化术后护理、减少并发症发生,以及缩短康复时间等优点,值得临床推广。
Objective: To explore the method of treating wounds in nasal septum deviation correction to improve the curative effect. Methods: Nasal septum submucosal resection was performed on 83 patients with nasal septal deviation. Then randomly divided into: scratch - bonding group: 42 cases. Adhesion to the bioadhesive (Jinan-made) nasal septum mucoperiosteal scratches, double nasal non-stuffing; control group: 41 cases. Double nose to vaseline gauze surgery wound. Comparison of postoperative response and efficacy. Results: There was no significant difference between headache and local congestion in the scratch-bonded group and the control group (P <0.01). There was no significant difference between the edema group and the control group (P> 0.05) The difference was also significant (P <0.05). Conclusion: Scratch-adhesion method has the advantages of simplifying the surgical procedure, reducing the incidence of postoperative headache, reducing local tissue reaction, simplifying postoperative care, reducing complications and shortening the recovery time compared with the traditional packing method , It is worth clinical promotion.