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作者对鼻腔术后粘连的发生率进行回顾性分析。60例手术类型有鼻中隔矫正、下鼻甲电凝或全切除、鼻息肉切除及上颌窦开窗术。20例同时作二种手术。鼻腔填塞用石蜡油碘仿纱条或干碘仿纱条,均于术后24～48小时取出。术后门诊观察2周,检查鼻腔时不取痂壳、不作清洁,鼻阻塞以熏气解除。6周时清洁鼻腔确定有无粘连发生。本组完成随访者54例中有6例(11%)发生鼻腔粘连,最早者在2周时已发现,另有21例2周时鼻腔已发现异常,但6周后恢复正常。因此,在2周时鼻腔有异常者,6周时将有22%(6/27)发生粘连。鼻腔粘连者均为下鼻甲全切除,且5例同时作了两种手术。
The authors retrospectively analyzed the incidence of postoperative nasal adhesions. 60 cases of surgical types of nasal septum correction, inferior turbinate electric coagulation or total resection, nasal polyps resection and maxillary sinus fenestration. 20 cases at the same time for two kinds of surgery. Nasal packing paraffin oil iodine gauze or dry iodine gauze, were removed after 24 to 48 hours. Postoperative observation of 2 weeks, check the nasal cavity does not take the scab, not for cleaning, nasal obstruction to fumigation. 6 weeks to clean the nasal cavity to determine whether the adhesions occurred. Nasal adhesions occurred in 6 out of 54 patients (11%) who completed follow-up, the earliest was found at 2 weeks, and the other 21 were abnormal at 2 weeks and returned to normal after 6 weeks. As a result, the nasal cavity became abnormal at 2 weeks, and adhesions occurred at 22% (6/27) at 6 weeks. Nasal adhesions are under the whole inferior turbinate resection, and 5 cases made two kinds of surgery at the same time.