摘要：
目的 探讨鼻中隔矫正术后使用缝合法关闭术腔的效果.方法 选取医院收治的拟行鼻中隔矫正手术的鼻中隔偏曲患者68例,其中对照组34例术后使用负压关闭术腔,观察组34例术后采用缝合法关闭术腔.使用视觉模拟评分方法(VAS),比较两组术后的鼻部疼痛、头痛和鼻塞VAS评分以及鼻中隔血肿情况;术后随访6个月,比较两组鼻中隔粘连情况以及整体疗效.结果 术后第2d和7d,观察组各项VAS评分均明显低于对照组(P＜0.05);术后第2d,观察组鼻中隔血肿程度显著低于对照组(P＜0.05);术后6个月,两组疗效无统计学差异(P＞0.05),两组鼻中隔粘连情况无统计学差异(P＞0.05).结论 在鼻中隔矫正术后,采用缝合法关闭术腔,能够患者减轻术后鼻痛、鼻塞、头痛症状,降低血肿发生,值得普及应用.%Objective To explore the effects of suture closure of surgical cavity after the correction of nasal septum.Methods A total of 68 patients with nasal septum deviation to receive correction operation in our hospital were selected and divided into a control group and an observation group (n=34,respectively).Negative pressure closure of surgical cavity was adopted for the control group after the operation while suture closure of surgical cavity was adopted for the observation group.Visual analogue scale(VAS) method was adopted for comparing the VAS scores in postoperative pain,headache and nasal obstruction as well as nasal septum hematoma between the two groups.After six months' follow-up visit,the nasal cavity adhesion and overall curative effects between the two groups were compared.Results On the 2nd and 7th day after the operation,the VAS scores in the aforesaid items in the observation group were significantly lower than those in the control group (P ＜ 0.05);on the 2nd day,the nasal septum hematoma in the observation group was significantly lower than that in the control group (P ＜ 0.05);six months after the operation,there was no significant difference in curative effects between the two groups (P ＞ 0.05),so did the nasal cavity adhesion (P ＞ 0.05).Conclusion After the correction of nasal septum,suture can be adopted for closing the surgical cavity in order to reduce the postoperative pain of nose,nasal obstruction,headache and the incidence of hematoma,so it is worthy of popularization and application.
