Expert consensus on the application of nasal cavity filling substances in nasal surgery patients(2025, Shanghai)
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摘要: 本共识将基于相关文献及专家意见对目前国内鼻部手术患者术腔应用的填充物特性进行介绍，同时对以慢性鼻窦炎为代表的不同鼻部疾病术腔填充物的选择给出建议。Abstract: This consensus will introduce the characteristics of fillers used in the surgical cavities of domestic nasal surgery patients based on relevant literature and expert opinions. It will also provide recommendations for the selection of cavity fillers for different nasal diseases, with chronic sinusitis as a representative example.
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Key words:
- fillers /
- nasal operation /
- biodegradable /
- non-biodegradable
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表 1 各种鼻腔填充物特性总结
材料名称 止血作用 抗炎作用 防粘连 患者舒适度 价格 高分子聚乙烯醇 +++ + ++ + + 碘仿纱条 ++ ++ + + + 藻酸钙纤维 ++ ++ + ++ + 凡士林纱条 ++ + + + + 填充气囊 ++ - ++ ++ ++ 聚醚酯聚氨酯类填充物 +++ + +++ ++ ++ 明胶类 + + + +++ + 透明质酸类 + + +++ +++ ++ 植物多糖类 ++ + + +++ ++ 纤维蛋白类 ++ + + +++ ++ 纤丝速即纱 ++ ++ + +++ + 可降解激素缓释支架 - +++ ++ ++ +++ 止血作用：-无，+弱，++较强，+++强；抗炎作用：-无，+弱，++较强，+++强；防粘连作用：+弱，++较强，+++强；患者舒适度：+差，++较强，+++强；价格：+低，++较贵，+++贵。 
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