鼻内窥镜手术并发症及相关因素分析

目的 :探讨鼻内窥镜手术并发症发生的原因及其处理措施。方法 :对 5 2 6例鼻内窥镜手术中 31例并发症的情况进行分析 ,再手术者并发症的发生率为 38.9% ;术中出血量≥ 2 0 0ml者为 30 .2 % ;病史 >10年者为30 .0 %。结果 :除 1例视力障碍者未恢复外 ,其余均恢复正常。结论 :内窥镜鼻窦手术并发症与鼻腔正常结构的破坏、鼻腔鼻窦解剖结构变异、术中出血量及病程长短有关。对于并发症的处理方法应得当 ,必要时应请眼科医师协助处理

Study on the factors in the complications of endonasal sinus surgery

Objective:To investigate the cause of complications occurring in the operations of endonasal sinus surgery(ESS) and how to deal with.Method: 526 patients performed with ESS were analyzed. 31 patients had complications. The incidence of the complications in patients operative history was 38.9 %, the incidence of bleeding in which the bleeding amount was over 200 ml was 30.2 %, the incidence in patients whose medical history was less than 10 years was 2.8 %. Result: Except for one patient whose eyesight decreased without recovery, the rest recovered.Conclusion:The cause of the complications in ESS was related with the destroy of normal structure, sinus bony anatomic variations, amount of intraoperative bleeding and the time of medical history.