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鼻内镜手术后鼻腔粘连的处理
引用本文:廖艳萍.鼻内镜手术后鼻腔粘连的处理[J].临床耳鼻咽喉头颈外科杂志,2005,19(15):700-701.
作者姓名:廖艳萍
作者单位:惠州市中心人民医院耳鼻咽喉科,广东惠州,516001
摘    要:目的:探讨慢性鼻窦炎鼻内镜鼻窦手术(ESS)后鼻腔粘连的成因及处理方法。方法:分析224例ESS手术后患者的完整临床资料,从中筛选出21例术后鼻腔粘连的病例,对此组病例进行分析并与无粘连的203例进行比较。结果:粘连的21例中,中鼻甲与鼻腔外侧壁粘连15例,鼻中隔与下鼻甲粘连6例。结论:手术中对应创面距离过小、术后换药不及时和粘连后处理方法不当是造成鼻腔粘连的主要原因。

关 键 词:鼻粘连  鼻窦炎  手术后并发症
文章编号:1001-1781(2005)15-0700-02
修稿时间:2005年3月28日

The treatment of nasal adhesion after endoscopic sinus surgery
LIAO Yanping.The treatment of nasal adhesion after endoscopic sinus surgery[J].Journal of Clinical Otorhinolaryngology,2005,19(15):700-701.
Authors:LIAO Yanping
Institution:Department of Otolaryngology, Huizhou Hospital, Huizhou City of Guangdong, Huizhou, 516001, China. hzlyp987@sina.com
Abstract:Objective:To explore the cause and the handle method of nasal adhesion after endoscopic sinus surgery (ESS).Method:There are 224 patients' clinical datum after ESS.Twenty-one patients were chosen after the operation of nasal adhesion.Analysising this group of the medical record and comparing with that 203 patients who haven't adhesion.Result:Among the 21 patiens who have been adhesive,there are 15 patients who have been adhesive in middle tusbinate and lateral nasal-wall,6 patients who have been adhesive in nasal septum and inferior turbinate.Conclusion:There are three main chief causes of adhesion,short distance in the operation's trauma,dressing changing not in time after the operation and mistaken method after nasal adhesion.
Keywords:Nasal adhesion  Sinusitis  Postoperative complications  
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