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307例鼻窦内窥镜手术并发症分析
引用本文:孙红,李舜农.307例鼻窦内窥镜手术并发症分析[J].湖南医科大学学报,1998,23(6):583-586.
作者姓名:孙红  李舜农
摘    要:分析307例(542例)鼻窦炎性疾病窦内窥镜手术中和术后的并发症发生情况。结果:(1)主要并发症为出血过多、纸板损伤、眶内出血、上颌窦口狭窄和术腔粘连。(2)术中并发症除出血过多外,最常见眶并发症;严重并发症仅有1例脑脊液鼻漏并化脓性脑膜炎。93)术中并发症的历年平均发生率为100例30.6次,术后并发症的历年平均发生率为每100例35.9次。各项并发症的年度发生率呈逐年下降趋势。讨论了主要并发症

关 键 词:鼻窦炎  内窥镜  并发症

Complications of endoscopic sinus surgery: incidence and prevention-analysis of 307 cases]
H Sun,G Tan,S Li,J Xiao,J Chen.Complications of endoscopic sinus surgery: incidence and prevention-analysis of 307 cases][J].Bulletin of Hunan Medical University,1998,23(6):583-586.
Authors:H Sun  G Tan  S Li  J Xiao  J Chen
Institution:Department of Otolaryngology, Third Affiliated Hospital, Hunan Medical University, Changsha.
Abstract:The complications of endoscopic sinus surgery performed on 307 patients with chronic inflammatory paranasal sinus diseases were analysed. The results showed that: 1. The common complications were excessive bleeding, orbit penetration, intra-orbital haemorrhage, postoperative stenosis of the maxillary ostium and middle turbinate adhesions. 2. The most common perioperative complications were those related to orbital penetration except excessive bleeding. A major complication was a case of cerebrospinal rhinorrhea with secondary purulent meningitis. 3. The annual overall incidences and the rates of common complications have been significantly decreased with year. The causes and prevention of excessive bleeding, stenosis of maxillary ostium and middle turbinate adhesions are discussed emphatically. In addition, the proposals were offered concerning the diagnostic criteria of the complications, and the statistical method of the complication incidence.
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