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鼻腔内手术后,创面粘膜容易粘连,阻塞鼻道或副鼻窦窦口。预防粘连的传统方法是用1％麻黄素点鼻收敛鼻粘膜及每日清理鼻腔,患者免受换药之苦,门诊病人尤感不便。为此,我们采用二甲基硅油(简称硅油)涂布手术创面预防术后粘连,可望减少合并症,缩短治疗时间。资料与方法双侧多发性鼻息肉切除加筛窦开放术28例,双下鼻甲粘膜部分切除术25例,上颌窦根治术6例,共59例112侧鼻腔。男38例,女21例。病程2～8年。所选择的双侧鼻腔手木者,所施手术程度及范围基本相同,一侧为实验组,另侧为对照组。上颌窦单侧手术两组各3例。实验侧是在手木完成后,清理干净术野,在粘膜创面区(上颌窦手术者术中在窦口的窦内面,换药时在鼻侧面)涂布硅油(四川富顺
After intranasal surgery, wound mucosa easy adhesion, obstruction of nasal or paranasal sinus ostium. The traditional method of preventing adhesions is to point the nose with 1% ephedrine to defuse the nasal mucosa and clean the nasal cavity daily. The patients are protected from the dressing change and the outpatients are particularly inconvenienced. To this end, we use dimethyl silicone oil (referred to as silicone oil) coated surgical wounds to prevent postoperative adhesions, is expected to reduce complications and shorten the treatment time. Materials and Methods 28 cases of bilateral multiple nasal polyps resection plus ethmoid open surgery, partial nasal mucosa partial resection in 25 cases, maxillary sinus radical surgery in 6 cases, a total of 59 cases 112 side of the nasal cavity. 38 males and 21 females. Course of 2 to 8 years. The selected bilateral nasal hand wood who applied the same extent and scope of the same side of the experimental group, the other side of the control group. Maxillary sinus unilateral surgery in two groups of three cases. Experimental side is finished in the hand wood, clean up the surgical field, in the mucosal wound area (maxillary sinus surgery in the sinus of the sinus inside, dressing in the nasal side) coated with silicone oil (Sichuan Fushun