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目的 :探讨内窥镜鼻窦手术后预防鼻腔黏连和筛窦腔黏连闭塞的方法。方法 :回顾分析 36例、6 9侧鼻内窥镜鼻窦手术中应用硅胶扩张管的临床资料。结果 :患者均未见上颌窦自然口黏连闭锁 ,中鼻甲与鼻腔外侧壁黏连及筛窦腔闭塞。结论 :术中正确置入硅胶扩张管是预防上颌窦自然口狭窄闭锁、鼻腔黏连及筛窦腔闭塞的有效方法。
Objective: To explore the method of prophylaxis of nasal adhesions and occlusion of ethmoid sinus after endoscopic sinus surgery. Methods: Clinical data of 36 cases and 69 cases of nasal endoscopic sinus surgery were retrospectively analyzed. Results: All the patients had no occlusion of maxillary ostium, the adhesion of middle turbinate to lateral wall of nasal cavity and occlusion of ethmoid sinus cavity. Conclusion: The correct placement of silicone expansion tube during operation is an effective way to prevent occlusion of the natural maxillary sinus, nasal adhesions and occlusion of the ethmoid sinus cavity.