摘要
目的 探讨内窥镜鼻窦手术后粘膜的转归过程并对此过程进行阶段划分。方法 对32 8例 (均为双侧 )功能性内窥镜鼻窦手术患者术后粘膜形态学进行连续观察。结果 90 %以上的术腔在 1～ 2周内清洁 ,80 %以上的术腔在 3～ 10周内有水肿、囊泡、肉芽、息肉生长和纤维结缔组织增生、粘连等去粘膜化反应或再生病变发生 ,并与上皮化呈竞争性生长。 90 %的术腔在经过恰当的处理后可完成上皮化 ,其中接近 60 %的术腔是在术后 11～ 14周完成上皮化。结论 将术后粘膜转归过程划分为 3个阶段 :术腔清洁阶段、粘膜转归竞争阶段和上皮化完成阶段。提出对术后各阶段进行正确的局部处理是保证手术整体疗效的重要组成部分。
Objective To investigate the character of transitionary process of mucosa in sinu cavity after functional endoscopic sinus surgery (FESS) and divide it into different stages Method The morphological character of mucosa in sinus cavity after FESS was surveyed continuously Results Over 90% of nasal and sinus cavity got clean within 1 to 2 weeks postoperatively About 80% of patients had the De mucous reaction from the 3rd to 10th week , such as mucous edema, vesicles, granulation tissue, mini polyps, fibrous hyperplasia, and adhesion or regenerated diseases may appear in this stage All of these diseases competed with mucous epithelization There were 90% of nasal and sinuous cavity brought to stage of complete epithelization, 11 to 14 weeks were need in about 60% of them Conclusion Three stages were divided after FESS They are stage of clean operative cavity, stage of mucous competition and stage of complete epithelization Proper local care in each stage is essential to the whole curable effect of FESS
出处
《中华耳鼻咽喉科杂志》
CAS
CSCD
1999年第5期302-305,共4页
Chinese Journal of Otorhinolaryngology
