May M, Levine H L, Mester S J, Schaitkin B
Sinus Surgery Center, Shadyside Hospital, Pittsburgh, Pa. 15232.
Laryngoscope. 1994 Sep;104(9):1080-3. doi: 10.1288/00005537-199409000-00006.
The incidence of complications of endoscopic sinus surgery (ESS) in a combined experience with 2108 total patients is compared to complications in 11 other series of patients (2583 total) who underwent ESS and 6 series of patients (2110 total) who underwent traditional endonasal sinus surgery. The incidence of major perioperative complications was 0.85%, with cerebrospinal fluid (CSF) leak being the most common. The most common minor complications of ESS were those related to orbital penetration and middle turbinate adhesions; minor complications occurred in 6.9% of the 2108 patients. There were no statistically significant differences in the overall incidences of major complications between this series and the other two groups. Recommendations are made for the prevention of complications during ESS.
将2108例患者行鼻内镜鼻窦手术（ESS）的综合经验中的并发症发生率，与其他11组行ESS的患者（共2583例）及6组行传统鼻内鼻窦手术的患者（共2110例）的并发症发生率进行比较。围手术期主要并发症的发生率为0.85%，脑脊液（CSF）漏最为常见。ESS最常见的轻微并发症是与眶穿透和中鼻甲粘连相关的并发症；2108例患者中有6.9%发生了轻微并发症。该组与其他两组之间主要并发症的总体发生率无统计学显著差异。文中针对ESS术中并发症的预防提出了建议。
