鼻内片切除时间对术后并发症的影响
S Arslan1, H Yıldırım2, B Çobanoğlu1
1Department of Otorhinolaryngology, Karadeniz Technical University, School of Medicine, Head and Neck Surgery, Trabzon, Turkey.
Nigerian journal of clinical practice
|April 28, 2024
概括
在隔膜整形术后提前去除鼻内可能是有利的. 虽然大多数并发症和疼痛得分相似,但早些时候去除会减少粘膜,这表明患者的治疗结果可能更好.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 患者的治疗结果.
背景情况:
- 鼻吸水器和鼻内被用于术后的septoplasty.
- 内鼻具提供优势,如减少鼻和疼痛在移除过程中.
- 在隔膜整形术后,鼻内片切除的最佳时间仍在争论中.
研究的目的:
- 评估鼻内除时间对术后并发症的影响.
- 为了比较早期 (3日) 和晚期 (7日) 拔 splint 的结果.
主要方法:
- 100名血栓整形患者被随机分为两组:早期 (3天) 和晚期 (7天) 的 splint 移除.
- 使用视觉模拟尺度 (VAS) 评估疼痛.
- 记录并比较了包括出血,血瘤,皮层,粘膜损伤,感染,突和穿孔在内的并发症.
主要成果:
- 在晚期去除组 (II组) 中观察到显著更高的粘膜.
- 在早期和晚期移除组之间,没有发现疼痛评分或其他记录的并发症的统计学上显著差异.
- 整体术后并发症和切除过程中的疼痛是相似的,除了皮.
结论:
- 在隔膜整形术后提前去除鼻内可能是一个有益的选择.
- 虽然还没有明确确确定的证据,但早期去除 splint 似乎可以减少粘膜,而不会增加其他并发症或疼痛.
- 进一步的研究可能会澄清拔的最佳时间,以促进患者的康复.
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