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目的探讨慢性鼻窦炎鼻息肉鼻内镜术后鼻腔粘连的原因及预防措施。方法回顾性分析2008年1月～2010年6月117例慢性鼻窦炎鼻息肉患者,在鼻内镜术后随访6个月及以上,对并发鼻腔粘连者进行手术分离。结果 117例患者中并发鼻腔粘连15例,经过手术分离解除鼻腔粘连。结论术前综合评估患者的情况,正确处理好中鼻甲、鼻中隔及下鼻甲,定期复查能有效预防鼻腔粘连。
Objective To investigate the causes and preventive measures of nasal adhesions after endoscopic sinus surgery for chronic sinusitis and nasal polyps. Methods A total of 117 patients with chronic sinusitis and nasal polyps from January 2008 to June 2010 were retrospectively analyzed. The patients were followed up for 6 months or more after endoscopic sinus surgery. Results 117 cases of nasal cavity adhesions in 15 cases, after surgical separation of nasal adhesions. Conclusions The condition of the patient is evaluated preoperatively, the middle turbinate, nasal septum and inferior turbinate are correctly treated. Periodic review can effectively prevent nasal adhesions.