摘要
目的 :探讨鼻内窥镜手术并发症发生的原因及其处理措施。方法 :对 5 2 6例鼻内窥镜手术中 31例并发症的情况进行分析 ,再手术者并发症的发生率为 38.9% ;术中出血量≥ 2 0 0ml者为 30 .2 % ;病史 >10年者为30 .0 %。结果 :除 1例视力障碍者未恢复外 ,其余均恢复正常。结论 :内窥镜鼻窦手术并发症与鼻腔正常结构的破坏、鼻腔鼻窦解剖结构变异、术中出血量及病程长短有关。对于并发症的处理方法应得当 。
Objective:To investigate the cause of complications occurring in the operations of endonasal sinus surgery(ESS) and how to deal with.Method: 526 patients performed with ESS were analyzed. 31 patients had complications. The incidence of the complications in patients operative history was 38.9 %, the incidence of bleeding in which the bleeding amount was over 200 ml was 30.2 %, the incidence in patients whose medical history was less than 10 years was 2.8 %. Result: Except for one patient whose eyesight decreased without recovery, the rest recovered.Conclusion:The cause of the complications in ESS was related with the destroy of normal structure, sinus bony anatomic variations, amount of intraoperative bleeding and the time of medical history.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2002年第8期395-396,共2页
Journal of Clinical Otorhinolaryngology