经鼻内镜处理眶内及眶壁病变

doi:10.6040/j.issn.1673-3770.0.2014.122

山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (4): 40-42.doi: 10.6040/j.issn.1673-3770.0.2014.122

经鼻内镜处理眶内及眶壁病变

陶晶^1,2, 卢永田¹, 王晓彬¹, 刘桂琴³, 郭疆⁴

1. 深圳市第二人民医院耳鼻咽喉头颈外科, 广东深圳 518035;
2. 广州医科大学, 广东广州 510182;
3. 深圳市眼科医院, 广东深圳 518040;
4. 深圳市第二人民医院眼科, 广东深圳 518035

收稿日期:2014-04-18 出版日期:2014-08-16 发布日期:2014-08-16
通讯作者: 卢永田。E-mail：luyongtian@263.net；王晓彬。E-mail：evelinew@163.com E-mail:luyongtian@263.net；evelinew@163.com
作者简介:陶晶。E-mail：562047934@qq.com

Management of the intraorbital and orbital wall disease by the intranasal endoscopic approach

TAO Jing^1,2, LU Yong-tian¹, WANG Xiao-bin¹, LIU Gui-qin³, GUO Jiang⁴

1. Department of Otolaryngology & Head and Neck Surgery, Shenzhen Second People's Hospital, Shenzhen 518035, Guangdong, China;
2. Guangzhou Medical University, Guangzhou 510182, Guangdong, China;
3. Shenzhen Ophthalmologic Hospital, Shenzhen 518040, Guangdong, China;
4. Department of Ophthalmology, Shenzhen Second People's Hospital, Shenzhen 518035, Guangdong, China

Received:2014-04-18 Online:2014-08-16 Published:2014-08-16

摘要/Abstract

摘要： 目的探讨经鼻内镜治疗眶内及眶壁病变的方法与疗效。方法回顾分析48例眶壁病变的临床资料。观察组23例采用经鼻内镜手术，术中未行眶壁重建。对照组25例采用传统结膜下径路并使用钛网及多孔聚乙烯板植入物（MEDPOR）进行眶壁重建，随访6个月以上，比较两组的疗效。结果两组患者疗效未见明显差异；观察组的手术时间、住院时间及住院费用均优于对照组（P均<0.05）。结论经鼻内镜治疗眶内及眶壁病变疗效良好且具有一定的优点，值得推广。

关键词: 重建手术, 鼻内镜外科手术, 眶疾病

Abstract: Objective To investigate the endoscopic operative technique and efficacy for orbital and orbital lesions. Methods The clinical data of 48 cases of orbital lesions were retrospectively analyzed. The observation group of 23 patients was treated by endoscopic surgery without orbital wall reconstruction. The control group consisting of 25 cases was treated by traditional subconjunctival approach using titanium mesh and porous polyethylene sheet implants (MEDPOR) to perform orbital wall reconstruction. Results During a follow-up period of 6 months, there were no significant differences in efficacy; the hospital stay and hospitalization costs in the observation group were all better than the control group (P<0.05). Conclusion Endoscopic treatment of orbital and orbital lesions is effective and has certain advantages.

Key words: Orbital diseases, Nasal endoscopic surgical procedures, operative, Reconstruction surgery

中图分类号:

R765.9

陶晶, 卢永田, 王晓彬, 刘桂琴, 郭疆. 经鼻内镜处理眶内及眶壁病变[J]. 山东大学耳鼻喉眼学报, 2014, 28(4): 40-42.

TAO Jing, LU Yong-tian, WANG Xiao-bin, LIU Gui-qin, GUO Jiang. Management of the intraorbital and orbital wall disease by the intranasal endoscopic approach[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 40-42.

参考文献

[1] 张革化, 王志远.经鼻内镜鼻眼相关外科进展[J].山东大学耳鼻喉眼学报, 2011, 25(1):46-48, 53.
[2] 李东云.鼻内镜外科治疗鼻眼相关疾病的进展[J].微创医学, 2007, 4(2):324-326.
[3] 宋西成.眶内壁骨折(眶内血气肿)[M]//张庆泉, 宋洁.鼻相关外科学.长春:吉林科学技术出版社, 2005:147-151.
[4] Chang E W, Manolidis S. Orbital floor fracture management[J]. Facial Plast Surg, 2005, 21(3):207-213.
[5] 吴莹, 孙志敏, 宋愈.不同材料眶内植入物在眼窝重建中的应用[J].中国组织工程研究与临床康复, 2010, 14(21):3931-3934.
[6] Hinohira Y, Takahashi H, Komori M, et al. Endoscopic endonasal management of medial orbital blowout fractures[J]. Facial Plast Surg, 2009, 25(1):17-22.
[7] Kunz C, Sigron G R, Jaquiery C. Functional outcome after non-surgical management of orbital fractures-the bias of decision-making according to size of defect: critical review of 48 patients[J]. Br J Oral Maxillofac Surg, 2013, 51(6):486-492.
[8] Castelnuovo P, Dallan I, Locatelli D, et al. Endoscopic transnasal intraorbital surgery: our experience with 16 cases[J]. Eur Arch Otorhinolaryngol, 2012, 269(8):1929-1935.
[9] McKinney K A, Snyderman C H, Carrau R L, et al. Seeing the light:endoscopic endonasal intraconal orbital tumor surgery[J]. Otolaryngol Head Neck Surg, 2010, 143(5):699-701.
[10] Stippler M, Gardner P A, Snyderman C H, et al. Endoscopic endonasal approach for clival chordomas[J]. Neurosurgery, 2009, 64(2):268-278.

相关文章 15

[1]	李华斌, 赖玉婷. 慢性鼻-鼻窦炎的发病机制及诊疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 4-9.
[2]	张炜,曾昱菡,余先崧. 慢性鼻窦炎手术前后ECP、EGF、IL-6的水平变化及临床意义[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 63-67.
[3]	王愿,周涵,刘晓静,张立庆,赵青,冯剑,董伟达. 鼻内翻性乳头状瘤的术式选择和疗效分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 79-83.
[4]	朱丽. 近期鼻骨与鼻中隔复合外伤鼻内镜下成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 7-9.
[5]	李娜. 美容与功能兼顾——浅谈鼻畸形整复与鼻中隔成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 1-2.
[6]	华骋, 陈振雨,张维娜,李娜. 鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 33-36.
[7]	江英,陈玥竹,饶郁芳,唐玥玓. 鼻中隔-鼻整形术矫正严重外伤性鼻畸形伴鼻中隔偏曲一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 45-47.
[8]	崔潇,阎艾慧. 鼻内镜下泪前隐窝入路治疗上颌窦内翻性乳头状瘤的疗效分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 49-52.
[9]	楚士东,慈军, 王海英, 王昌阳, 周怀恩, 宝庆付. 鼻窦CT指引下三种鼻内镜蝶窦手术径路回顾性分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 47-50.
[10]	吴元庆,徐进敬,邓毅. 蝶窦孤立炎症性疾病的诊治体会[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 114-116.
[11]	王春雨,张芬,张庆泉,王永福,王艳,柳忠禄,康莎莎,赵元阳,王贝贝,李志云. 鼻内镜下经鼻内进路行腭正中囊肿微创手术21例临床分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(3): 84-86.
[12]	房居高,何宁. 鼻内镜技术在鼻腔鼻窦前颅底恶性肿瘤手术中的应用[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 7-11.
[13]	姜彦. 鼻内镜下经鼻翼突径路旁中线颅底手术[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 16-24.
[14]	刘琢扶,王德辉. 累及翼腭窝肿瘤的鼻内镜下治疗[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 12-15.
[15]	邸斌,吴彦桥,李军,李晓明. 影像导航技术在鼻及颅底和鼻眼相关疾病内镜手术中的应用[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 25-30.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

经鼻内镜处理眶内及眶壁病变

Management of the intraorbital and orbital wall disease by the intranasal endoscopic approach

PDF (PC)

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

多维度评价

本文评价

推荐阅读 0