PVF医用海绵联合胶原蛋白海绵在功能性鼻内镜手术后的填塞效果观察

The Observation on Effect of PVF Medical Sponge Combined with Collagen Sponge in Nasal Packing after Functional Endoscopic Sinus Surgery

摘要: 目的：观察PVF (Polyvinyl Fluoride，聚乙烯醇缩甲醛)医用海绵联合胶原蛋白海绵在功能性鼻内镜手术后的填塞效果。方法：选取2018年1月~2019年4月我院接诊的120例内镜鼻窦手术的患者作为本次研究对象，按照就诊顺序随机分为观察组和对照组。观察组术后将胶原蛋白海绵覆盖手术创面后置入PVF医用海绵填塞术腔，对照组术后直接予凡士林纱条进行鼻腔填塞，观察两组患者术后6 h疼痛、术后48 h出血量、术后7 d粘膜水肿情况，并予评分量化比较。结果：观察组患者，术后6 h疼痛、术后48 h出血量、术后7 d粘膜水肿积分均明显低于对照组，两组比较具有统计学意义(P < 0.05)。结论：PVF医用海绵联合胶原蛋白海绵在功能性内镜鼻窦手术后能减轻术后疼痛和出血症状，减轻粘膜炎性反应和水肿，且安全有效、经济实用，值得在临床上应用推广。

Abstract: Objective: To observe the effect of PVF medical sponge combined with collagen sponge in nasal packing after functional endoscopic sinus surgery. Methods: 120 cases of patients with chronic rhino-sinusitis and nasal polyps from January 2018 to April 2019 in our hospital, were included in as the research object. According to the random number table method, they were divided into the observation group and the control group. Patients in the observation group were given the collagen sponge to cover the wound after surgery to place PVF medical sponge in nasal packing, while patients in the control group were given the traditional Vaseline gauze sponges directly in nasal packing after endoscopic sinus surgery. After the symptoms including pain, amount of bleeding and nasal mucosal edema were scored, we compared the scores between the two groups. Results：The symptomatic scores of observation group were lower than those of the control group at 6 h, 48 h, and the 7th day after operation, the difference between the two groups was compared with statistically significance (P < 0.05). Conclusion: PVF medical sponge combined with collagen sponge was effective and safe in alleviating postoperative pain, reducing amount of bleeding and reducing nasal mucosal edema after functional endoscopic sinus surgery. It was economic and practical, and was worthy of clinical application.