[鼻内镜鼻窦手术的术中并发症]
[Intraoperative complications of endoscopic sinus surgery].
作者信息
Sun S
机构信息
Department of Otorhinolaryngology Head and Neck Surgery, PLA 202 Hospital, Shenyang 110003, China.
出版信息
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2001 Oct;36(5):335-7.
OBJECTIVE
To analyze the complications occurring in endoscopic sinus surgery (ESS).
METHODS
The complications occurred in 25 cases from 307 patients who accepted ESS, performed by author, were reviewed.
RESULTS
The complications were periorbital injury (n = 16), medial rectus injury (n = 2), optic nerve injury (n = 1), retrobulbar haematoma (n = 1), inferior turbinate feared partially (n = 2) and severe hemorrhage(n = 3).
CONCLUSION
The causes of complications occurring in ESS were following: lack of experience, hemorrhage, blind operation, unsuitable instrument and reckless in manipulation. In addition, the complications, even serious complications, occurred in the hands of experienced surgeon.
目的
分析鼻内镜鼻窦手术（ESS）中出现的并发症。
方法
回顾作者所施行的307例接受ESS患者中25例出现的并发症。
结果
并发症包括眶周损伤（n = 16）、内直肌损伤（n = 2）、视神经损伤（n = 1）、球后血肿（n = 1）、下鼻甲部分粘连（n = 2）及严重出血（n = 3）。
结论
ESS出现并发症的原因如下：经验不足、出血、盲目操作、器械不合适及操作鲁莽。此外，即使是经验丰富的外科医生也会出现并发症，甚至是严重并发症。
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