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分析307例(542侧)鼻窦炎性疾病的鼻窦内窥镜手术中和术后的并发症发生情况。结果:①主要并发症为出血过多、纸板损伤、眶内出血、上颌窦口狭窄和术腔粘连。②术中并发症除出血过多外,最常见眶并发症;严重并发症仅有1例脑脊液鼻漏并化脓性脑膜炎。③术中并发症的历年平均发生率为100例30.6次,术后并发症的历年平均发生率为每100例35.9次。各项并发症的年度发生率呈逐年下降趋势。讨论了主要并发症发生的原因及防治对策,并就鼻窦内窥镜手术并发症的诊断标准和发生率的统计方法提出了建议。
Analysis of 307 cases (542 side) sinusitis disease during sinus surgery and postoperative complications. Results: ① The main complications were excessive bleeding, cardboard injury, orbital bleeding, maxillary ostium stenosis and intraluminal adhesions. ② intraoperative complications in addition to excessive bleeding, the most common orbital complications; severe complications of only 1 case of cerebrospinal fluid rhinorrhea and purulent meningitis. ③ The average annual incidence of intraoperative complications was 100 cases of 30.6 times, the average incidence of postoperative complications over the years was 35.9 times per 100 cases. The annual incidence of complications showed a downward trend year by year. The causes of the main complications and the prevention and cure measures were discussed. Finally, some suggestions on the diagnostic criteria and incidence of complications of sinus endoscopic surgery were proposed.