CAJ | 학술논문

目的：探讨下鼻甲部分切除术后免鼻腔填塞的方法。方法168例符合下鼻甲部分切除患者行传统下鼻甲部分切除术，其中98例(观察组)以角型钛夹闭合鼻甲创面止血，70例(对照组)用凡士林油纱条或Merocel止血海绵填塞鼻腔止血。比较术后两组患者的鼻堵塞、出血量、咽喉干痛、头痛鼻痛、溢泪、睡眠状况、换药时患者疼痛等指标。结果观察组中发生术后出血量多6例，发生率为6.1%，对照组中术后抽取纱条时发生鼻出血量多4例，发生率为5.7%，两组比较差异无统计学意义(P>0.05)；观察组患者术后的鼻堵塞、咽喉干痛等主观不适症状优于对照组，两组差异均有统计学意(P<0.05)。结论下鼻甲部分切除术后以角型钛夹闭合创面止血，免鼻腔填塞，避免鼻腔填塞带来的痛苦，可提高患者围手术期生活质量。
목적：탐토하비갑부분절제술후면비강전새적방법。방법168례부합하비갑부분절제환자행전통하비갑부분절제술，기중98례(관찰조)이각형태협폐합비갑창면지혈，70례(대조조)용범사림유사조혹Merocel지혈해면전새비강지혈。비교술후량조환자적비도새、출혈량、인후간통、두통비통、일루、수면상황、환약시환자동통등지표。결과관찰조중발생술후출혈량다6례，발생솔위6.1%，대조조중술후추취사조시발생비출혈량다4례，발생솔위5.7%，량조비교차이무통계학의의(P>0.05)；관찰조환자술후적비도새、인후간통등주관불괄증상우우대조조，량조차이균유통계학의(P<0.05)。결론하비갑부분절제술후이각형태협폐합창면지혈，면비강전새，피면비강전새대래적통고，가제고환자위수술기생활질량。
Objective To discuss the method of avoiding nasal packing after partial inferior turbinectomy. Methods Conventional partial inferior turbinectomy were performed on 168 patients who needed partial inferior tur-binectomy. Among the 168 cases, 98 patients (observation group) were treated with angle type titanium clip to stop turbinate wound bleeding, and 70 patients (control group) were treated with with vaseline gauze or Merocel hemo-static sponge packing to stop nasal bleeding. Postoperative nasal congestion, hemorrhage volume, dry throat pain, headache, nasal pain, epiphora, sleep status and dressing pain of the two groups were compared. Results There were 6 cases of postoperative bleeding (large amount) in observation group, with an incidence rate of 6.1%, and 4 cases in the control group when extracting the gauze, with an incidence of 5.7%. There was no statistically signifi-cant difference between the two groups (P>0.05). The discomforts of nasal congestion, dry throat pain and other sub-jective symptoms in observation group were better than those in the control group. The differences were statistically significant (P<0.05). Conclusion Partial inferior turbinectomy combined with angle titanium clip wound hemostasis could avoid the pain of nasal packing and improve life quality of patients during the perioperation.