纸样板内移对内镜鼻窦手术后眶眼并发症的影响  

Effect of lamina papyracea ingression on orbito-ocular complications after functional endoscopic sinus surgery

作　　者：王英[1] 张玉杰[1] 朱洪海[1] 

机构地区：[1]郑州大学第一附属医院鼻科,450052

出　　处：《中华耳鼻咽喉头颈外科杂志》2016年第8期589-592,共4页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：目的 探讨纸样板内移对内镜鼻窦手术后眶眼并发症的影响.方法 回顾性分析郑州大学第一附属医院鼻科2013年10月至2015年11月483例行功能性内镜鼻窦手术患者的临床资料,在CT扫描片子上观察纸样板内移,分析纸样板内移对眶眼并发症的影响.结果 483例患者中纸样板内移组54例（11.2％）,其中Ⅰ级凹陷18例,Ⅱ级25例,Ⅲ级11例;纸样板无内移组429例（88.8％）.纸样板无内移组11例患者发生眶眼并发症,比例为2.6％;纸样板内移组9例患者发生眶眼并发症,比例为16.7％.两组眶眼并发症差异有统计学意义（χ^2=20.61,P＜0.05）.结论 术前仔细阅读鼻窦CT可发现纸样板内移,减少眶眼并发症的发生.Objective To observe the effect of lamina papyracea ingression on orbito-ocular complications after functional endoscopic sinus surgery （FESS）. Methods Data of computed tomography （CT） and post-FESS complications were analysed in 483 patients undergoing FESS from October 2013 to November 2015. According to the condition of lamina papyracea, these patients were divided into lamina papyracea ingression group （ ingression group ） and normal group. All data were analyzed to observe the effect of lamina papyracea ingression on orbito-ocular complications. Results The patients with lamina papyracea ingression were found to be 11.2 % （54/483）. Of the 54 patients, 18 had grade-Ⅰ lamina papyracea ingression, 25 had grade-]I lamina papyracea ingression and 11 bad grade-Ⅲ lamina papyracea ingression. The incidence of orbito-ocular complications in normal group was 2.6% （ 11/429 ） and the incidence of orbito-ocular complications in the ingression group was 16.7% （9/54）. The difference was significant（χ^2 = 20.61, P 〈 0. 01 ） Conclusion Before FESS, the paranasal sinus CT should be carefully reviewed to find if there is lamina papyracea ingression, so as to avoid the orbito-ocular complications.

关 键 词：内窥镜检查 耳鼻喉外科手术 手术中并发症 眶 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]