鼻腔鼻窦手术后鼻腔粘连37例临床分析

目的总结鼻腔、鼻窦手术后鼻腔粘连的治疗经验。方法对27例功能性鼻内镜手术和10例传统非鼻内镜手术后鼻腔粘连中有症状的36例,按粘连的部位不同,实施相应的手术分离,术后用四环素可的松油纱条填塞隔离粘连面,并用复方薄荷油滴鼻剂滴鼻等治疗。结果全部病例随访3个月~1年,都未发生再粘连,同时鼻部不适症状消失。结论术后鼻腔粘连治疗的主要关键是分离粘连必须彻底及时,隔离物放置时间必须足够长。

Analysis on 37 Patients with Nasal Adhesion after Operation in Nasal Cavity and Paranasal Sinus

Objective To summarize the experience in the treatment of nasal adhesion after operation in nasal cavity and paranasal sinus.Methods Out of 27 patients who had been performed functional nasoscopic operation and 10 patients who had been performed traditional non-nasoscopic operation,36 ones with nasal adhesion symptoms received relevant separating operation according to adhesion location,after which oiled gauze strips with tetracycline and cortisone were tamped into the spaces as isolates.Compound menthol oil was then dripped into the noses.Results There were neither recurrent adhesions nor nasally unwell symptoms in any of the patients who were followed up 3-12 three months.Conclusion It is the key to the treatment of postoperative nasal adhesion that the thorough separation of adhesion by operation is performed in time.