侵犯眼眶及颅底的鼻窦囊肿的诊断和治疗

发布时间：2018-04-05 12:25

本文选题：鼻窦囊肿　切入点：内镜术　出处：《临床耳鼻咽喉头颈外科杂志》2014年13期

【摘要】：目的:总结侵犯眼眶及颅底的鼻窦囊肿的诊断和治疗要点。方法:回顾性研究侵犯眼眶及颅底的30例鼻窦囊肿患者的临床资料。均行CT和MRI检查。所有患者均在鼻内镜下进行手术,其中4例加用了辅助切口。术后均使用激素治疗并常规行鼻内镜复查。结果:所有患者均顺利完成手术,无并发症发生,术中出血50~150ml。术后患者眼球突出、复视、眼球运动障碍、头痛、鼻塞等症状明显改善或痊愈。随访2年以上,除1例患者在术后3个月出现复发外,其他均未复发。结论:鼻内镜手术是治疗鼻窦囊肿的有效方法,术前影像学检查对其诊断、手术难度的估计和器械的准备非常重要。为将囊肿内容物彻底清除及改善外观,合适的辅助切口是必要的。
[Abstract]:Objective: to summarize the diagnosis and treatment of paranasal cyst invading orbit and skull base.Methods: the clinical data of 30 cases of sinus cyst invading orbit and skull base were retrospectively studied.Both CT and MRI were performed.All patients underwent endoscopic sinus surgery, 4 of which were treated with additional incision.All patients were treated with hormone after operation and underwent nasal endoscopy.Results: all the patients successfully completed the operation, no complications occurred, and the intraoperative bleeding was 50 ~ 150 ml.Postoperative exophthalmos, diplopia, eye movement disorders, headache, nasal congestion and other symptoms improved or cured.Follow-up for more than 2 years showed no recurrence except for one patient who recurred 3 months after operation.Conclusion: endoscopic sinus surgery is an effective method for the treatment of paranasal cyst. Preoperative imaging examination is very important for its diagnosis, estimation of surgical difficulty and preparation of instruments.In order to thoroughly remove cyst contents and improve the appearance, appropriate auxiliary incision is necessary.
【作者单位】：中南大学湘雅医学院附属肿瘤医院(湖南省肿瘤医院)头颈外科;
【基金】：湖南省自然科学基金:TSPl在顺铂逆转鼻咽癌耐药过程中的作用(No:12JJ4088) 湖南省卫生厅一般项目:鼻内镜联合微波消融治疗复发性鼻咽癌(No:B2012-100)的资助
【分类号】：R765.9

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