内窥镜鼻窦手术中并发症的总结

目的：对内窥镜鼻窦手术术中并发症进行总结。方法：对307例（583侧）手术中25侧次并发症进行分析。结果：眶内壁损伤16侧次，内直肌损伤2侧次，视神经损伤1侧次，眶内血肿1侧次，下鼻甲粘膜部分撕脱2侧次，大出血3例。结论：缺乏手术经验，术中出血，盲目操作，手术器械使用不当是术中发生并发症的原因，有手术经验的医生也应警惕发生并发症。

Intraoperative complications of endoscopic sinus surgery]

OBJECTIVE: To analyze the complications occurring in endoscopic sinus surgery (ESS). METHODS: The complications occurred in 25 cases from 307 patients who accepted ESS, performed by author, were reviewed. RESULTS: The complications were periorbital injury (n = 16), medial rectus injury (n = 2), optic nerve injury (n = 1), retrobulbar haematoma (n = 1), inferior turbinate feared partially (n = 2) and severe hemorrhage(n = 3). CONCLUSION: The causes of complications occurring in ESS were following: lack of experience, hemorrhage, blind operation, unsuitable instrument and reckless in manipulation. In addition, the complications, even serious complications, occurred in the hands of experienced surgeon.