鼻内镜术后检查处理与疗效的关系分析  

Analysis of Relationship between Postoperative Examination and Curative Effect after Endoscopic Sinus Surgery

作　　者：郭晓文 GUO Xiao-wen(Department of ENT,Shanxi Hospital of integrated traditional Chinese and Western medicine,Taiyuan Shanxi)

机构地区：[1]山西省中西医结合医院耳鼻喉科

出　　处：《世界最新医学信息文摘》2018年第72期136-137,共2页World Latest Medicine Information Electronic Version

摘　　要：目的分析探讨鼻内镜术后检查处理对手术疗效的影响,找到术后最佳处理方法以缩短术后恢复周期,减少复发。方法对210例鼻窦炎患者手术后用药、处理,采用不同填塞物填塞、换药及术后随访观察。结果术后随访12个月,发现术腔粘连2例(1.0%);术腔有脓性分泌物5例(2.4%);鼻息肉复发2例(1.0%);术腔未上皮化1例,(0.5%)。结论术后正确处理、用药及填塞物的选择、定期合理鼻内镜换药、随访,是获得手术远期最佳疗效的重要保障。Objective To analyze and discuss the influence of endoscopic examination and treatment on the curative effect of the surgery,and find the best treatment method to shorten the recovery period and reduce recurrence after the surgery.Methods 210 patients with sinusitis were treated with different tamponade,dressing change and follow-up observation after operation.Results After 12 months of follow-up,2 cases(1.0%)of adhesion were found.There were 5 cases(2.4%)with purulent secretions in the operating cavity.2 cases(1.0%)had recurrent nasal polyps.One case was not epithelialized(0.5%).Conclusion Proper post-operative treatment,medication and selection of tamponade,regular and reasonable nasal endoscopic dressing change and follow-up are important guarantees for obtaining the best long-term curative effect of the operation.

关 键 词：慢性鼻-鼻窦炎 鼻内镜手术 术后处理 疗效 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]