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功能性鼻窦内窥镜手术(FESS)严重并发症的发生率为0%～9.3%,主要有3种:脑脊液漏,威胁生命的严重鼻内或颅内出血,以及伴有或无失明的眶内血肿或气肿。就过去3年所进行的150例FESS手术进行了回顾性分析,对其中10例严重手术并发症进行了放射学评价。根据并发症的临床表现和可能来源,分别采用颅脑CT、颅脑和鼻窦CT、颅脑和鼻窦MRL检查、脑池造影CT和脑血管造影CT等方法进行检查。所有10例均作了筛蝶窦内窥镜切除术,其中5例还作了上颌窦造口术,4例作了鼻中隔成形术。并发症发生在术中～术后18
Serious complications of functional endoscopic sinus surgery (FESS) incidence of 0% to 9.3%, there are three main: cerebrospinal fluid leakage, life-threatening severe intranasal or intracranial hemorrhage, and with or without blindness orbital Hematoma or emphysema. A retrospective analysis was performed on 150 FESS surgeries in the past three years, and radiographic evaluation of 10 severe surgical complications was performed. According to the clinical manifestations and possible sources of complications, CT, craniocerebral and sinus CT, brain and paranasal MRL examination, cerebral cava angiography CT and cerebral angiography CT were used to examine. All 10 patients underwent endoscopic splenectomy. Five of them were maxillary sinus surgeries and four had nasal septoplasty. Complications occurred during surgery ~ postoperative 18