鼻内窥镜术后鼻腔粘连的处理

The treatment of nasal adhesion after endoscopic sinus surgery

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205例ESS手术后患者的完整临床数据，对32例术后鼻腔粘连的病例进行分析。结果粘连的32＼例中，中鼻甲与鼻腔外侧壁粘连24例，鼻中隔与下鼻甲粘连8倒。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 explore the cause and the handle method of nasal adhesion after endoscopic sinus surgery （ESS）. Meth0d：There are 205 patient s＇clinical datum after ESS. 32 patients were chosen after the operation of nasal adhesion. Result：Among the 32 patiens who have been adhesive ,there are 24 patients who have been adhesive in middle tusbinate and lateral nasal wall ,8 patients who have been adhesive in nasal septum and inferior turbinate. Conclusion：There are three main chief causes of adhesion , short distance in the operation＇ s trauma ,dressing changing not in time after the operation and mistaken method after nasal adhesion.