慢性鼻窦炎鼻内镜术后术腔粘连的治疗观察  

Treatment for adhesion following nasal endoscopy in chronic sinusitis

作　　者：韦福依[1] 覃文格[1] 覃启才[1] 苏星贵[1] 姚志源[1] 杨开炎[1] 李树正[1] 

机构地区：[1]广西百色市人民医院右江民族医学院附属西南医院耳鼻咽喉科,广西百色533000

出　　处：《山东大学耳鼻喉眼学报》2007年第4期336-337,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的:观察慢性鼻窦炎鼻内镜术后局部不同处理对提高鼻内镜手术治愈率的影响。方法:340例患者随机分为两组,治疗组160例(308侧)在鼻内镜手术后鼻腔局部应用丝裂霉素,对照组180例(346侧)未用丝裂霉素。患者均予以鼻腔局部喷雷诺考特并常规行术后术腔清理。结果:两组鼻内镜术后术腔粘连和治愈率差异有统计学意义。结论:慢性鼻窦炎鼻内镜术后鼻腔局部应用丝裂霉素可明显降低术腔粘连的发生率,提高慢性鼻窦炎的手术治愈率。Objective： To investigate the effects of different managements on nostril adhesion after nasal endoscopy. Methods： A total of 340 patients were randomly divided into two groups： Mitomycin was locally applied to 160 cases （308 sides） in the treatment group and not used for 180 patients （346 sides） in the control group. All were given Rhinocor and routine irrigation to nostrils after surgery. Result： The prevalence of adhesion and the curative rate were significantly different between the two groups. Conclusion： Local application of Mitomycin following nasal endoscopy can significantly reduce adhesion in nostrils and raise the curative rate of chronic sinusitis.

关 键 词：鼻窦炎 鼻内镜外科手术 粘连 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]