经鼻内镜联合额窦前壁开窗双径路手术治疗额窦骨折并脑脊液漏的护理  

Nursing of Treating Frontal Sinus Fracture Combined with CSF Rhinorrhea via Combined Transfrontal and Intranasal Endoscopic Approaches

作　　者：邹利芳[1] 林爱桃[1] 李水颜[1] 蔡克文[1] 

机构地区：[1]中山大学附属第三医院耳鼻咽喉-头颈外科,广东广州510630

出　　处：《临床医学工程》2011年第9期1424-1425,共2页Clinical Medicine & Engineering

摘　　要：目的探讨经鼻内镜联合额窦前壁开窗双径路手术治疗额窦骨折并脑脊液漏围手术期的护理措施。方法回顾性分析13例经鼻内镜联合额窦前壁开窗双径路手术治疗额窦骨折并脑脊液漏的临床资料,总结额窦骨折并脑脊液漏围手术期的护理特点和措施。结果 13例均一次修补成功,术后完全恢复,无术中和术后并发症发生。随访6～48个月,鼻内镜复查额窦及额隐窝上皮化良好,引流通畅。亦无鼻塞、流涕、头痛等影响鼻腔、鼻窦功能的症状,无再发生脑脊液漏。额部切口隐藏在眉弓,额窦前壁无塌陷,不影响容貌。结论经鼻内镜联合额窦前壁开窗双径路手术治疗额窦骨折并脑脊液漏围手术期加强生命体征及并发症的病情观察和护理,以及恢复期指导,可能有助于提高手术疗效和减少并发症的发生。Objective To investigate nursing measures of treating frontal sinus fracture combined with CSF rhinorrhea via combined transfrontal and intranasal endoscopic approaches.Methods To retrospectively analyze the clinical data of 13 patients who underwent combined transfrontal and intranasal double approaches operation.And to summarize the nursing characteristics and measures of frontal sinus fracture and CSF rhinorrhea during perioperative period.Results All the 13 patients were successfully repaired with complete postoperative recovery without any complications.After 6 to 48 months follow-up,the well mucosa epithelization of frontal sinus and maxillary sinus was found under nasal endoscopy without recurrent CSF rhinorrhea.And after operation there were no nasal obstruction,rhinorrhoea,headache,etc.Frontal incision was hidden in eyebrow,and the anterior wall of frontal sinus wasn＇t collapsed without significant facial scars.Conclusion During perioperative period,close observation and nursing of vital signs and complications,and recovery guidance may be helpful to improve operative efficacy and decrease complication rate.

关 键 词：额窦骨折 脑脊液漏 鼻内镜手术 护理 

分 类 号：R473.76[医药卫生—护理学]