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目的观察负压引流应用于鼻内镜下鼻中隔偏曲矫正术的疗效。方法鼻内镜下鼻中隔偏曲矫正术患者38例分为两组:观察组18例,术后采取负压引流术;对照组20例,术后行鼻腔填塞处理。术后12、24、48h,采用VAS疼痛评分评估疼痛情况;术后72h,观察两组鼻黏膜水肿情况;术后1周,观察疗效及并发症。结果术后12、24、48h,观察组VAS疼痛评分低于对照组(P<0.01)。术后72h,观察组鼻黏膜水肿评分低于对照组(P<0.05)。两组总有效率相仿(94.4%vs.90.0%)(P>0.05)。两组术后均未出现鼻中隔血肿、脓肿及鼻中隔穿孔。结论负压引流应用于鼻内镜下鼻中隔偏曲矫正术后,可有效缓解患者疼痛,减轻鼻黏膜水肿,不增加并发症。
Objective To observe the effect of negative pressure drainage in nasal endoscopic septal deviation correction. Methods 38 cases of nasal septum deviation correction surgery were divided into two groups: 18 cases in the observation group, negative pressure drainage after operation; 20 cases in the control group, nasal packing after operation. Pain was assessed by VAS pain score at 12, 24 and 48 hours after operation. Edema of nasal mucosa was observed at 72 hours after operation. One week after operation, curative effect and complications were observed. Results At 12, 24 and 48 hours after operation, VAS pain scores in the observation group were lower than those in the control group (P <0.01). 72h after operation, nasal mucosa edema score in the observation group was lower than that in the control group (P <0.05). The total effective rate was similar in both groups (94.4% vs.90.0%) (P> 0.05). No postoperative nasal septum hematoma, abscess and nasal septum perforation. Conclusion Negative pressure drainage applied nasal endoscopic nasal septum deviation correction can effectively relieve pain, reduce nasal mucosal edema, without increasing complications.