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目的:探讨慢性鼻窦炎鼻内镜鼻窦手术(ESS)后鼻腔粘连的成因及处理方法。方法:分析224例ESS手术后患者的完整临床资料,从中筛选出21例术后鼻腔粘连的病例,对此组病例进行分析并与无粘连的203例进行比较。结果:粘连的21例中,中鼻甲与鼻腔外侧壁粘连15例,鼻中隔与下鼻甲粘连6例。结论:手术中对应创面距离过小、术后换药不及时和粘连后处理方法不当是造成鼻腔粘连的主要原因。
Objective: To investigate the causes and treatment of nasal adhesions after endoscopic sinus surgery (ESS) for chronic sinusitis. Methods: The complete clinical data of 224 ESS patients were analyzed. Twenty-one cases of postoperative nasal adhesions were screened out. The patients in this group were analyzed and compared with 203 cases without adhesions. Results: In the 21 cases of adhesion, 15 cases of middle turbinate and lateral nasal wall adhesions, 6 cases of nasal septum and inferior turbinate adhesions. CONCLUSION: The main reason for nasal adhesions is the small distance between the corresponding wounds in the operation, the improper dressing change after operation, and improper post-adhesion treatment methods.