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目的 :探讨各种鼻腔止血材料在鼻内窥镜手术后的应用及效果。方法 :随机将 1 2 0例需要进行内窥镜鼻窦手术的慢性鼻窦炎鼻息肉及鼻中隔偏曲患者分成 3组 ,在手术结束后 ,分别放置凡士林油纱、膨胀海绵、瑞纳止血材料 ,观察患者的填塞物取出时间、术后总出血量、患者的反应及术后恢复时间、恢复情况等并进行对比。结果 :40例应用瑞纳止血材料的患者 ,填塞后无明显不适 ,填塞物的取出时间比对照组早 1 .5d ,取出时无疼痛 ,取出后无再出血情况 ,术腔上皮化加快。结论 :瑞纳鼻腔止血材料在内窥镜鼻窦手术后的应用与目前材料对比有明显优越性 ,值得临床推广
Objective: To investigate the application and effect of various nasal hemostatic materials after endoscopic sinus surgery. Methods: 120 cases of chronic sinusitis, nasal polyps and nasal septum deviation who underwent endoscopic sinus surgery were randomly divided into 3 groups. After the surgery, vaseline gauze, swollen sponge and Reina hemostatic material were respectively observed. Patient’s tamponade time, the total amount of bleeding after surgery, the patient’s response and postoperative recovery time, recovery, etc. were compared. Results: In the 40 cases of Reina hemostatic material, there was no obvious discomfort after filling. The time of removing the stuffing was 1. 5 days earlier than that of the control group. No pain was found after removal. No rebleeding occurred and the epithelialization of the cavity accelerated. Conclusion: The application of Reina nasal hemostatic material after endoscopic sinus surgery has obvious superiority compared with the current materials, which is worthy of clinical promotion