山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (3): 39-41.doi: 10.6040/j.issn.1673-3770.0.2012.376

• 论著 • 上一篇    下一篇

不同类型蝶窦开放治疗相关疾病

钟兆棠,梁敏志,陈泽   

  1. 茂名市高州人民医院耳鼻咽喉科, 广东 茂名 525200
  • 收稿日期:2012-12-26 发布日期:2013-06-16
  • 作者简介:钟兆棠。 Email:zztw1234@126.com

Sphenoid sinus open surgeries for sphenoid sinus related diseases

ZHONG Zhao-tang, LIANG Min-zhi, CHEN Ze   

  1. Department of Otorhinolarnology, Gaozhou People’s Hospital, Maoming 525200, Guangdong, China
  • Received:2012-12-26 Published:2013-06-16

摘要:

目的   提高对蝶窦开放术的认识,以选择合理术式治疗蝶窦及其相关疾病。方法   回顾分析于鼻内镜下行蝶窦开放术的患者42例的临床资料,其中行1型蝶窦开放术18例,相关疾病为细菌性蝶窦炎;2型蝶窦开放术19例,相关疾病为蝶窦真菌病、黏膜下囊肿及乳头状瘤;3型蝶窦开放术5例,相关疾病为蝶筛窦黏液囊肿、脑垂体瘤、岩尖胆脂瘤、岩尖胆固醇肉芽囊肿。结果   所有患者均治愈,随访半年至3年,无复发。其中1例脑垂体瘤患者术后出现脑脊液鼻漏,经保守治疗后治愈。结论   不同类型蝶窦开放不但可以治疗不同蝶窦疾病,还可作为经鼻内镜颅底手术的径路,均可获得良好效果。

关键词: 蝶窦炎, 蝶窦真菌病;囊肿;乳头状瘤, 蝶窦开放术

Abstract:

Objective   To improve the understanding of sphenoidotomy for sphenoid sinus and related diseases. Methods   The clinical data of 42 cases of sphenoidotomy treated in our department were retrospectively analyzed. There were type 1 sphenoidotomy for 18 cases of bacterial sphenoiditis, type 2 sphenoidotomy for 19 cases related of sphenoid sinus mycoses, submucosal cyst and papillary tumor, type 3 sphenoidotomy for 5 cases related for adjusting ethmoid sinus mucocele, pituitary tumor, rock peak cholesteatoma and rock peak cholesterol granulation cyst. Results   All patients were cured and did not relapse during a followup of six months to 3 years. One case of pituitary tumor had post-operative cerebrospinal fluid rhinorrhea was cured after conservative treatment. Conclusion   Different types of sphenoid sinus open surgery can be used to treat different sphenoid sinus diseases, also can be used as the nasal endoscopic skull base surgery approach.

Key words: Cyst, Sphenoid sinus open surgery, Sphenoiditis, sphenoid sinus mycoses, Papillary tumor

中图分类号: 

  • R765.9
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