鼻窦炎内镜手术操作与术后复发

山东大学耳鼻喉眼学报

鼻窦炎内镜手术操作与术后复发

梁红民，李永利，郭清保

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

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/Abstract

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

梁红民,李永利,郭清保 . 鼻窦炎内镜手术操作与术后复发[J]. 山东大学耳鼻喉眼学报, 2007, 21(4): 334-335 .

LIANG Hong-min,LI Yong-li,GUO Qing-bao . Correlation between skill and relapse in endoscopic sinus surgery[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(4): 334-335 .

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