[鼻内镜鼻窦手术并发症相关因素的研究]
[Study on the factors in the complications of endonasal sinus surgery].
作者信息
Wu Changzhu, Sun Shuyan, Yu Bo, Song Wei, Zhang Zhiming
机构信息
Department of Otolaryngology-Head and Neck Surgery, PLA No. 202 Hospital, Shenyang 110003.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002 Aug;16(8):395-6.
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.
目的
探讨鼻内镜鼻窦手术（ESS）中并发症发生的原因及处理方法。
方法
对526例行ESS手术的患者进行分析。31例出现并发症。有手术史患者的并发症发生率为38.9%，出血量超过200 ml的出血发生率为30.2%，病史小于10年患者的发生率为2.8%。
结果
除1例视力下降未恢复外，其余均恢复。
结论
ESS并发症的发生原因与正常结构破坏、鼻窦骨质解剖变异、术中出血量及病史时间有关。
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