吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
20期
4463-4464
,共2页
鼻内镜术后%鼻腔粘连%策略
鼻內鏡術後%鼻腔粘連%策略
비내경술후%비강점련%책략
Endoscopic sinus surgery%Nasal adhesions%Strategy
目的：分析鼻内镜术后鼻腔粘连的原因及策略。方法：选择42例鼻内镜手术后发生的鼻腔粘连患者，检查鼻腔粘连的原因及治疗措施。结果：42例患者中发现鼻腔粘连前10天～9年有鼻内镜鼻窦开放手术史，其中2例鼻中隔偏曲矫正不彻底及8例合并鼻中隔偏曲前次未行矫正，7例中鼻甲下缘过长或中鼻甲肥大，4例钩突切除不彻底，6例下鼻甲骨质高拱型，2例患者术后未及时鼻腔清理换药。行鼻腔粘连松解术后，随访6个月～1年，42例术腔粘连均成功解除。结论：分析鼻内镜术后鼻腔粘连的原因后尽量避免，鼻腔粘连松解术可以很好的改善鼻腔粘连。
目的：分析鼻內鏡術後鼻腔粘連的原因及策略。方法：選擇42例鼻內鏡手術後髮生的鼻腔粘連患者，檢查鼻腔粘連的原因及治療措施。結果：42例患者中髮現鼻腔粘連前10天～9年有鼻內鏡鼻竇開放手術史，其中2例鼻中隔偏麯矯正不徹底及8例閤併鼻中隔偏麯前次未行矯正，7例中鼻甲下緣過長或中鼻甲肥大，4例鉤突切除不徹底，6例下鼻甲骨質高拱型，2例患者術後未及時鼻腔清理換藥。行鼻腔粘連鬆解術後，隨訪6箇月～1年，42例術腔粘連均成功解除。結論：分析鼻內鏡術後鼻腔粘連的原因後儘量避免，鼻腔粘連鬆解術可以很好的改善鼻腔粘連。
목적：분석비내경술후비강점련적원인급책략。방법：선택42례비내경수술후발생적비강점련환자，검사비강점련적원인급치료조시。결과：42례환자중발현비강점련전10천～9년유비내경비두개방수술사，기중2례비중격편곡교정불철저급8례합병비중격편곡전차미행교정，7례중비갑하연과장혹중비갑비대，4례구돌절제불철저，6례하비갑골질고공형，2례환자술후미급시비강청리환약。행비강점련송해술후，수방6개월～1년，42례술강점련균성공해제。결론：분석비내경술후비강점련적원인후진량피면，비강점련송해술가이흔호적개선비강점련。
Objective To analyze of nasal endoscopic surgery adhesions and strategic reasons.Methods 42 cases of patients with nasal adhesions were selected after endoscopic sinus surgery,checked the nasal adhesion causes and treatment measures.Results 42 patients were found during 10 days ago to nine years having endoscopic sinus open surgery,including two cases of nasal septum was not complete,8 patients did not undergo previous deviated septum corrected,the lower edge of the middle turbinate 7 cases too long or middle turbinate hypertrophy,four cases of uncinate not completely removed,six cases of inferior turbinate bone Gaogong type,2 patients did not clean up after dressing timely nasal cavity. After adhesiolysis nasal surgery,followed-up of 6 months to 1 year,42 cases of surgical cavity adhesions were successfully released.Conclusion After analysis of postoperative nasal adhesions reason,we should avoid it,and nasal adhesion lysis can be a good improvement in nasal adhesions.
