鼻腔隔膜保持器与在隔膜整形术中穿过隔膜切割:对手术时间的随机试验
Chao Wang1, Liyun Ying2, Weihua Wang2
1ENT Institute and Department of Otolaryngology, EYE & ENT Hospital, Fudan University, Shanghai, China.
Ear, nose, & throat journal
|February 17, 2026
概括
鼻腔隔膜保持器显著减少了与跨隔膜接相比,在隔膜整形术中的手术关闭时间. 这两种方法都显示出相似的安全性和患者结果,使保持器成为有效的替代品.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术技巧 手术技巧
- 鼻腔手术 鼻腔手术
背景情况:
- 隔膜整形是一个常见的程序,以纠正鼻腔阻塞.
- 传统的跨septal接可能是耗时的.
- 新技术旨在提高操作效率和患者的治疗结果.
研究的目的:
- 为了比较鼻腔隔膜保持器和横隔膜接器之间的手术关闭时间.
- 评估早期的术后结果,包括症状负担和并发症.
主要方法:
- 一项前性随机对照试验,涉及23名患有鼻腔阻塞的18-65岁患者.
- 患者被随机分配到接受横隔膜接或在隔膜整形后使用鼻腔隔膜保留器.
- 主要结局是手术关闭时间;次要结局包括VAS,SNOT-22分数和并发症.
主要成果:
- 鼻腔隔膜保持器组的闭合时间显著缩短 (18.1s vs 763.3s; P<.001).
- 保持组报告了阻塞,面部压力和消化障碍 (P<.05) 的更高的VAS得分.
- 两组之间没有观察到SNOT-22得分或并发症率的显著差异.
结论:
- 鼻腔隔膜保持器是关闭隔膜术的更快的技术.
- 保持器的安全性和患者报告的结果与横隔膜接相比,具有相似的安全性.
- 鼻腔隔膜保持器代表了对隔膜整形手术的高效和可行的替代方案.
相关概念视频
01:29Suctioning the Nasopharyngeal Airway
3.8K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
3.8K
01:30Epistaxis
608
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
608