论文部分内容阅读
目的探讨减少鼻内窥镜鼻窦手术中出血的方法。方法通过对慢性鼻窦炎、鼻息肉患者34例进行鼻内窥镜鼻窦手术且进行相应的围手术期处理,并与未经类似围手术期处理的同类手术15例进行比较。结果术前处理组的手术有效率为91.2%,术前未经处理组的手术有效率为80%,两者经统计学处理差异有显著性(F=8.617,P=0.02)。术前处理组中出血量为(53.2±41.8)m l,术前未经处理组中出血量为(97.2±59.0)m l,两者经统计学处理有显著性差异(F=27.946,P=0.002)。结论术前用药物控制慢性鼻窦炎、鼻息肉炎症是减少内窥镜鼻窦手术出血的重要措施,而良好和足够时间的术中鼻腔收缩剂的应用、控制性低血压药物的应用、控制出血高危因素和减少术中损伤等对减少出血也非常重要。
Objective To explore ways to reduce the bleeding in nasal endoscopic sinus surgery. Methods Thirty-four patients with chronic sinusitis and nasal polyps underwent endoscopic sinus surgery and the corresponding perioperative management was performed, and compared with 15 cases of similar operations without perioperative management. Results The operative efficiency was 91.2% in the preoperative group and 80% in the untreated group. The difference between the two groups was statistically significant (F = 8.617, P = 0.02). Preoperative blood loss was (53.2 ± 41.8) ml and preoperative non-treated group was (97.2 ± 59.0) ml, statistically significant difference was found between the two groups (F = 27.946, P = 0.002 ). Conclusion Preoperative drug control of chronic sinusitis, nasal polyps inflammation is an important measure to reduce the bleeding of endoscopic sinus surgery, and good and enough time intraoperative nasal contractile agents, the application of controlled hypotensive drugs, control of bleeding at high risk Factors and reduce intraoperative damage, etc. is also very important to reduce bleeding.