影像导航鼻内镜系统在鼻内翻性乳头状瘤和鼻窦骨瘤中的应用

发布时间：2018-04-29 04:07

  本文选题：外科手术 + 计算机辅助　； 参考：《重庆医学》2014年07期

【摘要】：目的分析采用影像导航进行鼻内翻性乳头状瘤、鼻窦骨瘤鼻内镜手术与传统鼻内镜手术的疗效。方法 73例鼻腔内翻性乳头状瘤、鼻窦骨瘤患者被分成导航组与非导航组,导航组采用影像导航下鼻内镜手术,非导航组采用传统鼻内镜手术。分析两组患者的手术时间、麻醉时间、术中出血量、并发症及术后疗效情况。结果导航组与非导航组患者麻醉时间比较,差异无统计学意义(P0.05),手术时间、术中出血量比较,差异有统计学意义(P0.05)。鼻腔内翻性乳头状瘤导航组与非导航组Ⅰ、Ⅱ级复发率比较,差异无统计学意义(P0.05),而在Ⅲ、Ⅳ级中复发率比较,差异有统计学意义(P0.05)。鼻窦骨瘤中非导航组有1例复发,导航组未见复发病例。鼻腔内翻性乳头状瘤中导航组与非导航组鼻内并发症比较,差异有统计学意义(P0.05),Ⅰ、Ⅱ级鼻内并发症导航组与非导航组的发生率比较,差异无统计学意义(P0.05),而在Ⅲ、Ⅳ级鼻内并发症的发生率比较,差异有统计学意义(P0.05)。在鼻窦骨瘤中导航组与非导航组鼻内并发症比较,差异有统计学意义(P0.05)。结论对于鼻窦骨瘤及Ⅲ、Ⅳ级鼻腔内翻性乳头状瘤,影像导航下鼻内镜手术优于传统鼻内镜手术,特别在术前评价和确保手术中的安全性方面起到了有价值的辅助作用,使得肿瘤切除更彻底,复发率更低。
[Abstract]:Objective to evaluate the efficacy of endoscopic sinus surgery and endoscopic sinus surgery in nasal inverted papilloma. Methods 73 patients with inverted papilloma of nasal cavity were divided into navigation group and non-navigation group. The operative time, anaesthesia time, intraoperative bleeding volume, complications and postoperative curative effect were analyzed. Results there was no significant difference in anesthetic time between the navigation group and the non-navigation group (P 0.05). The time of operation and the amount of intraoperative bleeding were significantly different between the navigation group and the non-navigation group (P 0.05). There was no significant difference in the recurrence rate between the nasal inverted papilloma navigation group and the non-navigation group in grade 鈪，

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