nlwxpearo
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 Posted: Wed 21:39, 23 Mar 2011 Post subject: Dressing after endoscopic sinus surgery and its cl |
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Dressing after endoscopic sinus surgery and clinical significance of the summary
1 for 4 with a total observation time of 17 weeks. 2.2 The operative cavity in each group recorded the basic cleaning, granulation and other diseases vesicle recycling, complete epithelialization time after surgery to determine each case the overall outcome of the process of cavity mucosa. 3 Results 3.1 Group A (I-III) 3.1_1 surgical cavity cleaning time 1 week after surgery in 12 patients (8.8%), 2 weeks, 111 patients (81.6%), 3 Monday between 4 weeks in 9 cases (6.6%), 4 weeks in 4 cases (3%). 3.1.2 vesicles, granulation, polyps, adhesions and the other the need to clean the surgical cavity mucosal lesions seen: no 6 cases (4.4%), 23 cases within 2 weeks (16.9%) 3 Monday 4 weeks 72 patients (53%),[link widoczny dla zalogowanych], 5 Mon 6 weeks in 34 patients (25%), 7 weeks in 1 case (0.7%). 3.1.3 fully operative cavity epithelization within 2 weeks time,[link widoczny dla zalogowanych], 3 cases (2.2%), 3 4 weeks on Monday, 6 cases (4.4%), 5 -6 weeks on Monday, 13 cases (9.6%) , 7 weeks 8 weeks 27 patients (19.9%), 9 weeks to 12 weeks in 62 cases (45.5%), 13 weeks 16 weeks 16 patients (11.8%), 17 weeks of 9 cases of incomplete epithelial (6.6%). 3.2 B (Ⅱ type III) 3.2.1 surgical cavity cleaning time 1 week after surgery in 21 cases (10.9%), after 2 weeks, 158 patients (82.3%) between 3 weeks to 4 weeks in 8 cases (4.2%), 4 weeks in 5 cases (2.6% o3.2.2 vesicles, granulation, polyps, adhesions and the other the need to clean the surgical cavity mucosal lesions appear Time does not appear 0 cases, 31 cases within 2 weeks (16.1%), 3 weeks to 4 weeks 147 patients (76.6%), 5 between 6 weeks on Monday 11 cases (5.7%), 5 weeks more than 3 cases (1.6%). 3.2.3 operative cavity full epithelization time 0 cases within 2 weeks, 3 weeks to 4 weeks in 5 patients (2.6%), 5 -6 weeks on Monday, 23 cases ( 12%), 7 weeks 8 weeks 30 patients (15.6%), 9 weeks to 12 weeks in 63 cases (32.8%), 13 on Monday for 16 weeks in 49 cases (25.5%), 17 weeks is not complete epithelial of 22 cases (11.5%). 4 to discuss the principles of the various stages of operation, from the overall point of view, should be a body from the local to the comprehensive treatment process. From the perspective of local processing, should pay attention to the following problems: ① containing antibiotics and corticosteroids, low viscosity paste or adhesive coating can accelerate epithelial regeneration. ② toilet sinuses containing enzymes, biodegradable cellulose pseudomembranous, blood and mucus scab scab, to stimulate wound cleaning and healing process. ③ saline nasal wash helps increase blood circulation and promote mucociliary clearance. ④ aqueous nasal spray Renault Lookout has a strong local anti-allergic, anti-inflammatory, anti-edema effect, can effectively control vesicles and small polyps. ⑤ factors contribute to strong thinning thick sticky secretions in the dissolution, thinning of the mucosal surface adhesion between the fiber and enhance cilia clearance system. ⑥ meticulous cleaning technology is very important, regeneration of lesions should be removed to minimize the damage of the mucosal epithelium have been, should not clamp the scope is too large and tear take action. ⑦ no need regular cleaning, inspection 1 week after discharge from hospital can be. in the epithelium of the regeneration process, unless the foregoing new disease,[link widoczny dla zalogowanych], should avoid any unnecessary surgery, new bone connected with the loose epithelium, slight touch can be avulsed. but it has been a marked stenosis and occlusion of the sinus of 1:3 should be promptly reopened. 5 Summary I-III and Ⅱ three patients with sinusitis after functional endoscopic sinus surgery cavity complete epithelialization require l0 weeks ~ l4 weeks, sometimes longer. we made it artificially divided into three stages: stage clean operative cavity,[link widoczny dla zalogowanych], mucosal vesting competition stage, the epithelium of the stage. Although the lesions, the severity, extent of surgery and other factors may affect the various stages of the time, but almost every case goes through the three stage. In the first, the second stage,[link widoczny dla zalogowanych], the treatment operative cavity is very important for the overall treatment, endoscopic sinus surgery has become an important system component. doctors and patients should be fully aware of before surgery after the need to experience the complex process, and the process to give full faith and identity.
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