用明胶海绵做上颌窦根治术后窦腔填塞,对减少病人痛苦及出血取得良好的效果,报告如下。 1 临床资料自1978年我科采用柯—陆氏术式行上倾窦根治术共255例,其中117例术后窦腔填塞碘仿纱条,138例术后窦腔填塞明胶海绵,术中出血较多者47例,占40.2％。填塞方法:上颌窦腔用生理盐水冲洗后,依次填塞明胶海绵,首先填塞对孔处,并压紧创面,然后从上到下直至填满窦腔,约需明胶海绵6～8块。如窦腔感染较重者,明胶海绵表面可浸以适量洁霉素液或庆大霉素液,填塞后缝合伤口,局部加压包扎, With gelatin sponge for maxillary sinus surgery sinus filling, to reduce patient pain and bleeding achieved good results, the report is as follows. 1 Clinical data Since 1978, our department adopted Ke - Lu operation of the line of the incised sinus radical total of 255 cases, of which 117 cases of postoperative sinus tampon iodoform gauze, 138 cases of postoperative sinus cavity filling gelatin sponge, intraoperative Bleeding more 47 cases, accounting for 40.2%. Wound method: After the maxillary sinus cavity is rinsed with saline, the gelatin sponge is stuffed in turn, the hole is filled at the first place, and the wound is compressed. Then, the sinus cavity is filled up from top to bottom, about 6-8 pieces of gelatin sponge are required. Such as sinuses heavier, gelatin sponge surface can be immersed in appropriate amount of lincomycin solution or gentamicin solution, after the closure of the wound packing, local pressure bandaging,