铝箔在鼻内镜术后鼻腔粘连处理中的应用  

Application of aluminum foil in the treatment of nasal cavity adhesion after nasal endoscopic surgery

作　　者：朱永贤[1] 左勇[1] 张建[1] 陈晋[1] 

机构地区：[1]连云港市第二人民医院耳鼻咽喉科,江苏连云港222023

出　　处：《中国耳鼻咽喉头颈外科》2012年第7期378-380,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨铝箔在鼻内镜术后鼻腔粘连处理上的应用价值。方法回顾2005年10月～2011年10月,我科经治的149例172侧鼻内镜术后鼻腔粘连患者。鼻内镜下运用直接分离法、射频烧灼双侧创面法及局部放置铝箔法,对粘连进行处理。结果直接分离法治愈率76.9%(40/52),12侧改行铝箔法治愈;射频法治愈率82.9%(29/35),6侧改行铝箔法治愈;初次行铝箔法的治愈率94.1%(80/85),5侧二次治愈,总治愈率为100%。铝箔组治愈率明显高于直接分离和射频组(P=0.000)。结论鼻内镜术后鼻腔粘连分离术中,局部放置铝箔分离粘连是一种有效、经济和简便的方法 。直接分离法及射频烧灼法失败者,铝箔法是一种良好的选择。OBJECTIVE To evaluate the aluminum foil separation in the treatment of nasal adhesion after endoscopic sinus surgery.METHODS From 2005 October to 2011 October,172 sides of nasal cavity adhesions of 149 cases with previous endoscopic sinus surgery were reviewed retrospectively.Direct separation,radio frequency cautery and aluminum foil separation were used to treat the adhesion of nasal cavity.RESULTS The cure rate was 76.9% for direct separation,82.9% for radio frequency cautery,and 100% for aluminum foil separation,respectively.12 sides of re-adhesion after direct separation,6 sides of re-adhesion after radio frequency cautery were transformed to aluminum foil separation and 5 sides of re-adhesion after aluminum foil separation were separated for the second time.All of the adhesions were cured.CONCLUSION Aluminum foil separation is an effective,economic and convenient method to treat nasal adhesion.It can be a good choice for re-adhesion after direct separation and radio frequency cautery.

关 键 词：内窥镜检查 手术后并发症 鼻腔粘连 铝箔 

分 类 号：R765[医药卫生—耳鼻咽喉科]