鼻丘上进路额窦手术可行性影像学研究

发布时间：2018-03-19 05:37

  本文选题：内镜检查　切入点：额窦炎　出处：《临床耳鼻咽喉头颈外科杂志》2014年20期 　论文类型：期刊论文

【摘要】：目的:探讨鼻内镜下鼻丘上进路治疗额窦病变新术式的可行性。方法:将32例患者CT资料导入Mimics软件中进行三维重建,在矢状位上分别测量"腋窝"中点和中鼻甲前端颅底附着点至筛前动脉的距离,冠状位上测量中鼻甲垂直板与眶纸板之间的距离、鼻丘的高度。应用Sinuses TracheaⅠ软件重建额窦及其周围气房三维可视结构。结合CT和上述数据,尸头模拟手术操作。结果:1中鼻甲前端颅底附着点位于额窦口前缘或稍靠后。2中鼻甲前端颅底附着点至筛前动脉的距离:左侧(15.31±2.82)mm、右侧(15.39±3.53)mm;"腋窝"中点至筛前动脉的距离:左侧(22.23±2.78)mm、右侧(22.30±2.80)mm;中鼻甲垂直板与眶纸板之间的距离:左侧(7.61±1.34)mm、右侧(7.80±1.40)mm;鼻丘的高度:左侧(8.33±2.14)mm、右侧(8.00±2.57)mm。以上每组数据左右对比差异无统计学意义(均P0.05)。3三维可视结构显示中鼻甲前端颅底附着点紧邻额窦口,其外下与眶纸板之间、鼻丘气房之上或上部区域仅为气房结构。结论:鼻内镜下鼻丘上进路额窦手术具有可行性,适用于孤立性额窦病变,可根据病变特点变通手术方式处理复杂额窦、额隐窝病变。
[Abstract]:Objective: to investigate the feasibility of a new endoscopic approach to the treatment of frontal sinus lesions. Methods: the CT data of 32 patients were imported into Mimics software for 3D reconstruction. The distance between the midpoint of "axillary" and anterior skull base of middle turbinate and anterior ethmoidal artery was measured on sagittal position, and the distance between vertical plate of middle turbinate and orbital cardboard was measured on coronal position. Height of nasal colliculus. Reconstruction of 3D visual structure of frontal sinus and its surrounding gas chamber using Sinuses Trachea 鈪，

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