CAJ | 학술논문

目的探讨纤维蛋白封闭剂(fibrin sealing,FS)在功能性鼻内镜鼻窦手术中的临床应用价值.方法随机将163例行鼻内镜鼻窦手术患者分成FS组、Merocel高膨胀材料组和凡士林油纱条组,比较不同填塞材料的术后临床表现及远期影响.结果 FS组在鼻内镜鼻窦手术中止血效果差于高膨胀材料及凡士林油纱条组,但术后头痛及鼻腔疼痛较轻,鼻黏膜反应轻,创口愈合快,鼻黏膜上皮化快,鼻腔粘连少.结论鼻内镜鼻窦手术中应用FS术后头痛及鼻黏膜反应轻,值得临床进一步实践、应用.
목적 탐토섬유단백봉폐제(fibrin sealing,FS)재공능성비내경비두수술중적림상응용개치.방법 수궤장163례행비내경비두수술환자분성FS조、Merocel고팽창재료조화범사림유사조조,비교불동전새재료적술후림상표현급원기영향.결과 FS조재비내경비두수술중지혈효과차우고팽창재료급범사림유사조조,단술후두통급비강동통교경,비점막반응경,창구유합쾌,비점막상피화쾌,비강점련소.결론 비내경비두수술중응용FS술후두통급비점막반응경,치득림상진일보실천、응용.
Objective To investigate the clinical value of fibrin sealing(FS) in the endoscopic sinus surgery. Methods One hundred and sixty-three patients who would undergo endoscopic sinus surgery were divided into FS, Me-rocel highly expansive sponge and vaseline gaase groups. The postoperative response and the long-term curative effect was compared among the three groups. Results Compared with Merocel and vaseline gause, FS had an inferior hemostasis effect in the endoscopic sinus surgery, but a superior effect in the fullowing aspects: lighter headache and nasal cavity pain, gentler postoperative nasal mucosa response, shorter nasal mucosa epithelialization and less nasal cavity adhesion. Conclusions The using of FS in endoscopic sinus surgery could lead to a lighter headache and nasal cavity pain after the operation, which could be further applied in the clinical practice. (Chin J Ophthalmol and Otorhinolaryngol ,2009 ,9 :221-222)