山东大学耳鼻喉眼学报

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鼻窦炎内镜手术操作与术后复发

梁红民, 李永利, 郭清保   

  1. 陕西省森林工业职工医院耳鼻咽喉-头颈外科, 陕西 户县 710300
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-08-24 发布日期:2007-08-24
  • 通讯作者: 梁红民

Correlation between skill and relapse in endoscopic sinus surgery

LIANG Hong-min, LI Yong-li, GUO Qing-bao   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Forest Industrial Worker′s Hospital, Huxian 710300, Shanxi, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-08-24 Published:2007-08-24
  • Contact: LIANG Hong-min

摘要: 目的:探讨内镜鼻窦手术操作与鼻窦炎术后复发的关系。方法:对2001~2005年随访的因手术操作不当造成复发的病例进行回顾性分析。结果:因手术操作不当造成复发的原因有鼻中隔高位偏曲未矫正、鼻丘及额隐窝部病变处理不彻底、筛窦开放不完全、中鼻甲处理不当、钩突残留、上颌窦口狭窄闭锁、上颌窦内息肉未摘除干净、鼻腔黏膜粘连,下鼻甲明显肥厚术中未同期手术等。结论:熟悉内镜鼻窦手术的应用解剖,熟练手术操作技巧,特别是对几个容易引起复发部位的处理要得当。

关键词: 内窥镜, 鼻窦炎, 复发

Abstract: Objective: To study the correlation between skill and relapse in endoscopic sinus surgery. Method: Relapse induced by improper operative procedures from 2001 to 2005 in our hospital was retrospectively analyzed. Result: Factors of relapse were as follows: the exalted deviation of nasal septum was not remedied; the focus between the egger nasi and the frontal recess was not completely operated on; the ethmoid sinus was not completely opened; the middle turbinate was improperly operated on; the uncinate process was hung over; the ostium maxillary was narrow; polyp in the maxillary sinus was not completely removed; the nasal mucosa stuck together; hypertrophy of the inferior turbinate was not operated on. Conclusion: Great knowledge of anatomy and operative skill and proper treatment of the easily recurrent focus are important to avoid relapse.

Key words: Endoscopy, Sinusitis, Relapse

中图分类号: 

  • R765.4
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