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題 名 | 鼻竇功能性內視鏡手術的眼眶合併症=Orbital Complications in Functional Endoscopic Sinus Surgery |
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作 者 | 趙敏政; 黃弘孟; 洪元宗; 周承良; 詹光漢; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 32:3 1997.06[民86.06] |
頁 次 | 頁64-68 |
分類號 | 416.87 |
關鍵詞 | 眼眶合併症; 眼球後血腫; 鼻竇功能性內視鏡手術; Orbital complication; Retrobulbar hematoma; Functional endoscopic sinus surgery; |
語 文 | 中文(Chinese) |
中文摘要 | 眼眶傷害是經鼻腔內視鏡鼻竇手術最常見的合併症之一,其中又以視力喪失最為 嚴重。 我們分析由 1991 年 1 月至 1995 年 9 月間, 住院接受鼻竇功能性內視鏡手術的 412 名病人,803 側鼻竇,計有 4 例術後發生眼眶周圍瘀血。其中 2 例術後眼眶周圍瘀血 ,乃新手初次切除鉤狀突時,不慎傷及其後的紙狀板 (lamina papyracea),其餘 2 例因鼻 中膈彎曲,導致於切除鉤狀突時,傷及紙狀板而致術術眼眶周圍瘀血。 另有 1 例,為他院 手術後傷及後篩竇處的紙狀板,而致術後眼球後血腫,照會諮詢筆者意見,我們一併納入討 論。我們認為:術前詳細的詢問病史及鼻竇電腦斷層評估,術中小心且確實地辨識解剖標界 ,是防止手術發生眼眶傷害的良方。 |
英文摘要 | Orbital injuries are the common complications in functional endoscopic sinus surgery. The medical records and sinus CT scans of 412 patients who underwent 803 ethmoid sinus operations between Janurary 1991 and Spetember 1995 were reviewed. There were 4 periorbital ecchymoses post-operatively. We were consulted with one case of retrobulbar hematoma from other hospital where he received functional endoscopic sinus surgery. After analysis of these 5 cases, we found this complication occurred most commonly during uncinectomy. Some modifications in uncinectomy were made and proved effective to avoid violating the lamina papyracea. Detailed history-taking and sinus CT evalution before operation, careful manipulations during operation, and close observation and immediate management after post-operation are helpful to reduce the orbital complication. |
本系統中英文摘要資訊取自各篇刊載內容。