鼻内镜手术并发症与解剖因素关系探讨  

The Relationship between Nasal Endoscopic Surgical Complication and Anatomy

作　　者：王杰[1] 董钏[1] 付启红[1] 胥斌[1] 杨德满[1] 

机构地区：[1]四川省绵阳市中心医院耳鼻咽喉科,四川绵阳621000

出　　处：《华西医学》2005年第1期81-82,共2页West China Medical Journal

摘　　要：目的 :探讨鼻内镜手术并发症与解剖因素的关系。方法 :分析我科 1995年至 2 0 0 2年间经鼻内镜手术治疗慢性鼻窦炎、鼻息肉 ,资料完整、随访时间达一年的病例 86 3例。结果 :轻微并发症出现率 5 2 % :包括眶周皮下淤血 5例、暂时性牙或唇麻木 15例、需要填塞的鼻出血 5例、引起症状的粘连 2 0例 ;严重并发症出现率0 5 8% :包括眶内积血 (中隔后 ) 1例、溢泪 2例、复视 2例。结论 :鼻窦CT扫描可清楚显示鼻腔、鼻窦解剖学异常与解剖变异 ,是预防大多数并发症的可靠依据 ,术者对术中解剖的熟悉程度以及熟练操作是避免并发症的关键。Objective： To explore the relationship between nasal endoscopic surgical complication and anatomy. Methods： To analyse all patients of 863 cases with chronic sinusitis or/and nasal polyps which were performed endoscopic surgery in our department from 1995 to 2002 and followed up one year. Results： Ratio of minor complications is 5.2 percent, including 5 cases of periorbital subcutaneous blood clot and 15 cases of temporary teeth or lips insensibility and 5 cases of epistaxis managed with packing and 20 eases of adhesion with symptom; that of major complications included endorbital hemorrhage （behind nasal septum） 1 case and tearing 2 cases and diplopia 2 cases is 0.58 percent. Conclusion： Sinus CT scanning can demonstrate clearly anatomy anomalies and variations of nasal cavity and sinus, based on it, we can prevent beforehand most of complications. Furthermore, operator＇ s, knowledge of anatomy and skill of operation may helpful to avoid complication.

关 键 词：鼻窦炎 鼻内镜手术 并发症 解剖因素 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]