山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (1): 72-76.doi: 10.6040/j.issn.1673-3770.0.2017.312

• ·综述· • 上一篇    下一篇

鼻内镜下翼管神经切断术进展

李松,王宗贵,杨景朴,张竹萍   

  1. 吉林大学第二医院耳鼻咽喉头颈外科, 吉林 长春 130000
  • 收稿日期:2017-07-20 出版日期:2018-01-20 发布日期:2018-01-20
  • 通讯作者: 王宗贵. E-mail:zgw1965@hotmail.com

Progress of transnasal endoscopic vidian neurectomy

LI Song, WANG Zonggui, YANG Jingpu, ZHANG Zhuping   

  1. Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Jilin University, Changchun 130000, Jilin, China
  • Received:2017-07-20 Online:2018-01-20 Published:2018-01-20

摘要: 20世纪70年代及80年代初期翼管神经切断术被国内外广泛用于治疗顽固性血管运动性鼻炎以及难治性变应性鼻炎,但是因为其严重的并发症而逐渐被弃用,尤其是20世纪90年代初鼻用糖皮质激素以及免疫疗法的兴起,使得内科治疗成为主流,近年来随着鼻内镜技术的发展以及内科治疗逐渐显示出局限性,鼻内镜下翼管神经切断术因其优越性被越来越多实践于临床,并发展出诸多不同术式,现就近年来鼻内镜下翼管神经切断术的相关进展情况做一综述。

关键词: 鼻内镜外科技术, 顽固性血管运动性鼻炎, 难治性变应性鼻炎, 翼管神经切断术

Abstract: In the 1970s and early 1980s, vidian neurectomy was widely used for the treatment of intractable vasomotor rhinitis and refractory allergic rhinitis; however, it was gradually abandoned because of the serious complications associated with this procedure and the rise of nasal glucocorticoids and immunotherapy in the early 1990s. The developments in nasal endoscopy and internal medicine treatment have revealed the limitations of traditional vidian neurectomy, and the great advantages of transnasal endoscopic vidian neurectomy compared to traditional vidian neurectomy have also been elucidated; thus, an increasing number of surgeons have been performing transnasal endoscopic vidian neurectomy recently and many different operating methods have also been subsequently developed. This review focuses on the progress related to transnasal endoscopic vidian neurectomy in recent years.

Key words: Vidian neurectomy, Intractable vasomotor rhinitis, Refractory allergic rhinitis, Endoscopic surgical procedures, operative

中图分类号: 

  • R765.9
[1] Golding-Wood PH. Observations on petrosal and vidian neurectomy in chronic vasomotor rhinitis[J]. J Laryngol Otol, 1961, 75:232-247.
[2] Masini E, Rucci L, Cirri-Borghi MB, et al. Stimulation and resection of Vidian nerve in patients with chronic hypertrophic non-allergic rhinitis: effect on histamine content in nasal mucosa[J]. Agents Actions, 1986, 18(1): 251-253.
[3] Nishihira S. The autonomic innervation of the nasal capacitance and resistance vessels in the cat[J]. Nippon Jibiinkoka Gakkai Kaiho, 1990, 93(4): 583-589.
[4] Ruskell GL. The orbital branches of the pterygopalatine ganglion and their relationship with internal carotid nerve branches in primates[J]. J Anat, 1970, 106(Pt 2):323-339.
[5] 谭国林. 难治性变应性鼻炎的外科治疗[J]. 中国耳鼻咽喉颅底外科杂志, 2016, 22(1):1-4.
[6] 闵钟云. 翼管神经切断术的进展[J]. 国外医学·耳鼻咽喉科学分册, 1997, 21(2):79-83.
[7] 刘锋, 丁晋澄. 翼管神经破坏后对鼻黏膜血流的影响[J]. 第二军医大学学报, 1994, 3(2):291-292.
[8] 赵娜, 石磊. 翼管神经切断术的研究进展[J]. 中国耳鼻咽喉颅底外科杂志, 2016, 22(1):81-84.
[9] 秦泗佳, 张奎启, 张元鑫, 等. 翼腭神经节及其动脉供应观测[J]. 大连医科大学学报, 2012, 34(2): 129-133. QIN Sijia, ZHANG Kuiqi, ZHANG Yuanxin, et al. Pterygopalatine ganglion and its artery supply[J]. J Dalian Med Univ, 2012, 34(2):129-133.
[10] 邓彬华. 翼腭窝区的显微外科解剖及影像解剖学研究[D]. 上海:第二军医大学, 2004.
[11] 柳林整, 刘红军, 李维民. 翼管走行的解剖测量及其临床意义[J]. 山东大学耳鼻喉眼学报, 2008, 22(2):139-140. LIU Linzheng, LIU Hongjun, LI Weimin. Measurement of the pterygoid canal and its clinical significance[J]. J Otolaryngol Ophthalmol Shandong Univ, 2008, 22(2):139-140.
[12] 胡玉婷, 韩卉, 庞刚, 等. 翼腭窝骨性结构的解剖学观测及其临床意义[J]. 安徽医科大学学报, 2003, 38(6):437-439. HU Yuting, HAN Hui, PANG Gang, et al. Anatomic investigation of the osseous pterygopalatine fossa and its clinical significence[J]. Acta Univ Med Anhui, 2003, 38(6):437-439.
[13] 徐明, 江凯, 王新东, 等. 翼管神经的应用解剖学[J]. 解剖学报, 2015, 46(2):227-231. XU Ming, JIANG Kai, WANG Xindong, et al. Clinical anatomy of the vidian nerve[J]. Acta Anatomica Sinica, 2015, 46(2):227-231.
[14] 贵平, 梁伟平, 周水淼. 变应性鼻炎的外科治疗[J]. 国外医学·耳鼻咽喉科学分册, 2004, 28(2):95-98.
[15] 穆大年. 经鼻腔入路翼管神经节前纤维切断术[J]. 沂水医专学报, 1984(2):254-256.
[16] Halderman A, Sindwani R. Surgical management of vasomotor rhinitis:a systematic review[J]. Am J Rhinol Allergy, 2015, 29(2):128-134.
[17] Jang TY, Kim YH, Shin SH. Long-term effectiveness and safety of endoscopicvidian neurectomy for the treatment of intractable rhinitis[J]. Clin Exp Otorhinolaryngol, 2010, 3(4):212-216.
[18] 黄钦辉, 阙镇如. 鼻内镜下翼管神经切断术治疗持续性变应性鼻炎近远期疗效[J]. 中国实用神经疾病杂志, 2015(12):95-96.
[19] Robinson SR, Wormald PJ. Endoscopic vidian neurectomy[J]. Am J Rhinol, 2006, 20(2):197-202.
[20] Lee JC, Hsu CH, Kao CH, et al. Endoscopic intrasphenoidal vidian neurectomy:how we do it[J]. Clin Otolaryngol, 2009(6):568-571.
[21] Zhang H, Micomonaco DC, Dziegielewski PT, et al. Endoscopic vidian neurectomy: a prospective case series[J]. Int Forum Allergy Rhinol, 2015, 5(5):423-430.
[22] 陈江波, 谭国林. 鼻内窥镜下翼管神经切断术对血管运动性鼻炎的治疗作用[J]. 中南大学学报(医学版), 2007, 32(5):913-916. CHEN Jiangbo, TAN Guolin. Therapeutic effect of vadian neurectomy under the nasal endoscope on the vasomotor rhinitis[J]. J Cent South Univ(Med Sci), 2007, 32(5):913-916.
[23] Yazar F, Cankal F, Haholu A, et al. CT evaluation of the vidian canal localization[J]. Clin Anat, 2007, 20(7):751-754.
[24] Lee JC, Kao CH, Hsu CH, et al. Endoscopic transsphenoidal vidian neurectomy[J]. Eur Arch Otorhinolaryngol, 2011, 268(6):851-856.
[25] 冀永进, 张艳廷, 赵长青, 等. 鼻内镜下经蝶窦翼管神经切断术的手术探讨[J]. 中国耳鼻咽喉颅底外科杂志, 2014, 20(6):483-486. JI Yongjin, ZHANG Yanting, ZHAO Changqing, et al. A modified endoscopic transsphenoidal vidian neurectomy[J]. Chin J Otorhinolaryngol-Skull Base Surg, 2014, 20(6):483-486.
[26] 刘怀涛,马瑞霞,文武林. 鼻后神经切断术对高反应性鼻病患者生活质量的影响[J]. 宁夏医学杂志, 2014, 36(10):882-884. LIU Huaitao, MA Ruixia, WEN Wulin. Clinical study on resection of the posterior nasal nerve in refractory hyperreactive rhinopathy[J]. Ningxia Med J, 2014, 36(10):882-884.
[27] Kobayashi T, Hyodo M, Nakamura K, et al. Resection of peripheral branches of the posterior nasal nerve compared to conventional posterior neurectomy in severe allergic rhinitis[J]. Auris Nasus Larynx, 2012, 39(6):593-596.
[28] Albu S, Trombitas V, Nagy A. Endoscopic microdebrider-assisted inferior turbinoplasty with and without posterior nasal neurectomy[J]. Auris Nasus Larynx, 2014, 41(3):273-277.
[29] 张炜伟. 内镜经鼻入路鼻后神经切断术治疗难治性鼻炎的临床研究[C] // 基层医疗机构从业人员科技论文写作培训会议论文集,中国中药杂志2015专集, 2016:2.
[30] 马力学, 赵波, 姜海燕. 鼻内窥镜下翼管神经切断术治疗过敏性鼻炎[J]. 海军医学杂志, 2001, 22(4):324-326. MA Lixue, ZHAO Bo, JIANG Haiyan. Treatment of allergic rhinitis by cutting the vidian nerve under the nasal endoscope[J]. J Navy Med, 2001, 22(4):324-326.
[31] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 变应性鼻炎诊断和治疗指南(2015年,天津)[J]. 中华耳鼻咽喉头颈外科杂志,2016,51(1):6-24. Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinalryngology Head and Neck Surgery, Chinese Medical Association. Chinese guidelines for diagnosis and treatment of allergic rhinitis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2016, 51(1):6-24.
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