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題名 | 指套填塞法使用於鼻竇內視鏡手術=Fingerstall Nasal Packing in Endoscopic Sinus Surgery |
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作者姓名(中文) | 洪嘉駿; 鍾從得; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 34:4 民88.07-08 |
頁次 | 頁288-291 |
分類號 | 416.854 |
關鍵詞 | 指套填塞法; 鼻填塞; 鼻竇內視鏡手術; Fingerstall; Nasal packing; Endoscopic sinus surgery; |
語文 | 中文(Chinese) |
中文摘要 | 背景:鼻填塞在鼻竇內視鏡手術後可止血及防止傷口沾粘,是常用的處置法。目 前市面上有多種材質可供選擇使用。本文旨在探討本院所採用的凡紗指套填塞,與傳統使用 的凡士林紗條及 Merocel,3 種材質在鼻竇炎病人接受鼻竇炎視手術後行鼻填塞的優的優缺 點。 方法:自 1996 年 10 月至 1997 年 12 月接受鼻竇內視鏡手術之鼻竇炎病人中, 以 Kennedy Staging System 依其在鼻竇電腦層攝影上的表現, 選出 30 名隻側病灶同期的病 人, 以凡士林紗條、Merocel、及凡紗指套 3 種材質進行術後鼻埧塞之比較, 分別探討 3 種材質於鼻填塞移除時所引起的疼痛程度及所需要的花費。結果:引起的不適度以 Merocel 最低,凡士林紗條最高,花費以 Merocel 最高,凡士林紗條及凡紗指套填塞法較低。 結論 : 傳統使用的凡士林紗條的優點為便宜, 可塑性高, 缺點為移除時病人不適度最高; Merocel 所引起的不適度最低,但價格昂貴為其缺點。凡紗指套塞法則兼具兩者的優點;病 人的不適度低,價格便宜,而且製作方式容易。因此,對鼻竇內視鏡手術後的病人而言,凡 紗指套填塞法是理想的鼻填塞方式。 |
英文摘要 | Background:Postoperative nasal packing is universally used following routine endoscopic sinus surgery to achieve hemostasis and prevent wound adhesion. In the recent years, the variety of materials used for packing the nose has greatly increased. This study aimed to compare the pain during the removal of nasal packing and the cost of these three packing materials: fingerstall nasal packing, Vaseline gauze, and Merocel. Methods:A prospective study was performed to collect 30 chronic sinusitis patients who underwent endoscopic sinus surgery in our department from October 1996 through December 1997. The diagnosis and staging were accordding to sinus computer topography scan findings and the Kennedy staging system. Three postoperative nasal packing materials, fingerstall, Vaseline gauze and Merocel, were used. The level of pain as rated on a scale during the removal of nasal packing and the cost of these three materials were evaluated. Results:The pain level was the lowest with Merocel, and the highest with Vaseline gauze. The cost was highest for Merocel and was much lower for Vaseline gauze and fingerstall packing. Conclusions:Vaseline gauze has the addvantages of being inexpensive and highly viable, but it is uncomfortable during its removal.Merocel is comfortable, with the disadvantage of its high expense. Fingerstall is an ideal nasal packing in endoscopic sinus surgery: it is comfortable, inexpensive and parctical. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。