以鼻内镜手术为主治疗鼻颅底和鼻窦胆固醇肉芽肿

发布时间：2018-05-13 22:44

本文选题：鼻颅底 + 鼻窦　；参考：《临床耳鼻咽喉头颈外科杂志》2015年20期

【摘要】：目的:探讨鼻颅底和鼻窦胆固醇肉芽肿的诊断与治疗方法。方法:回顾性总结分析10例鼻颅底和鼻窦胆固醇肉芽肿患者的临床资料。病变位于鼻颅底5例,位于上颌窦及上颌骨5例。CT显示不同程度的骨质破坏。所有患者均因保守治疗无效而采取手术治疗,其中8例为鼻内镜手术,1例行额窦开窗联合鼻内镜手术,1例行唇龈沟切口联合鼻内镜手术。结果:手术效果良好,术后无并发症,随访8~40个月无复发。结论:鼻颅底和鼻窦胆固醇肉芽肿是鼻内镜手术的理想适应证,其中少部分患者适合使用鼻内镜在辅助切口下完成手术。
[Abstract]:Objective: to investigate the diagnosis and treatment of cholesterol granuloma in nasal skull base and paranasal sinus. Methods: the clinical data of 10 patients with cholesterol granuloma in nasal skull base and paranasal sinus were retrospectively analyzed. The lesions were located in the nasocranial base in 5 cases, maxillary sinus and maxilla in 5 cases. Ct showed different degrees of bone destruction. All the patients were treated by surgery because of the ineffective conservative treatment, among them, 8 cases were treated by endoscopic sinus surgery, 1 case was treated with frontal sinus fenestration combined with nasal endoscopic surgery, and 1 case was treated by incision of lip and gingival groove combined with endoscopic surgery. Results: the effect of operation was good and there was no complication after operation. There was no recurrence after 8 ~ 40 months follow-up. Conclusion: cholesterol granuloma in the nasal skull base and sinuses is an ideal indication for endoscopic sinus surgery.
【作者单位】：首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科;
【分类号】：R765.9

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