鼻内镜手术颈内动脉损伤3例

发布时间：2018-05-31 04:04

本文选题：内镜检查 + 外科手术　；参考：《临床耳鼻咽喉头颈外科杂志》2017年11期

【摘要】：正1病例报告例1女,49岁。因"鼻腔平滑肌肉瘤术后13年,鼻出血1周"入院。鼻内镜检查见右侧鼻腔后部肿物,根部位于右侧鼻腔外侧壁,表面灰红色,触之质脆,易出血。鼻窦CT及MRI提示鼻腔及蝶窦内不规则软组织密度影,与颅内尚有界限。入院经活检病理诊断为(鼻腔)平滑肌肉瘤。于2007年7月5日全身麻醉下行鼻侧切开联合鼻内镜下肿瘤切除术,术中见肿瘤来源于右鼻腔外侧壁及蝶窦,大小约为5.0cm×4.0cm×4.0cm,蝶窦前壁
[Abstract]:Case 1, female: 49 years old. Due to nasal smooth myoma 13 years after surgery, 1 week of epistaxis admitted. Nasal endoscopy showed the right nasal cavity posterior mass, the root was located on the lateral wall of the right nasal cavity, the surface was grayish red, the touch was brittle and bleeding easily. Ct and MRI showed irregular soft tissue density in nasal cavity and sphenoid sinus. The pathological diagnosis of admission was leiomyosarcoma (nasal cavity). On July 5, 2007, under general anesthesia, nasal incision combined with endoscopic resection of tumors was performed. The tumors originated from the lateral wall of the right nasal cavity and the sphenoid sinus. The size of the tumor was about 5.0cm 脳 4.0cm 脳 4.0 cm. The anterior wall of the sphenoid sinus was found to be from the anterior wall of the sphenoid sinus.
【作者单位】：吉林大学第二医院耳鼻咽喉科;
【分类号】：R765.9

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