低温等离子辅助经鼻切除前中颅底肿瘤17例

doi:10.6040/j.issn.1673-3770.1.2020.095

摘要/Abstract

摘要： 目的探讨低温等离子辅助下经鼻前中颅底肿瘤切除的应用效果。方法回顾性分析17例运用经鼻低温等离子切除前中颅底肿瘤患者的病历资料。总结该技术应用优点与不足,观察术后并发症情况及治疗效果。结果本组病例的术中出血量为70~800 mL,中位数出血量为210 mL;手术时间为50~270 min,中位数手术时间为145 min;住院时间为10~35 d,平均21 d。17例鼻腔鼻窦及颅底肿瘤均进行了彻底切除,术后无颅神经损伤及相关功能障碍出现,无脑脊液鼻漏及颅内感染等并发症。随访(54.9±29.8)个月,3例死亡、1例失访,其余无肿瘤复发。结论低温等离子辅助下经鼻前中颅底肿瘤切除术是一种安全有效的辅助措施。

关键词: 颅底肿瘤, 鼻内窥镜, 低温等离子射频, 手术, 并发症

Abstract: Objective To investigate the effect of low-temperature plasma-assisted transnasal middle skull base tumor resection. Methods A retrospective analysis of the medical records of 17 patients with anterior middle skull base tumors excised using intranasal low-temperature plasma was conducted. The advantages and disadvantages of this technique were summarized, and the postoperative complications and therapeutic effects were noted. Results The intraoperative blood loss in this group was 70-800 mL, and the median blood loss was 210 mL. The duration of surgery was 50-270 min, and the median duration of surgery was 145 min. The duration of hospital stay ranged from 10 to 35 days, with an average of 21 days. All the 17 cases of nasal sinus and skull base tumors were completely resected. No cranial nerve injury and related dysfunction and complications, such as cerebrospinal fluid rhinorrhea and intracranial infection, were observed after the surgery. The patients were followed up for 54.9±29.8 months; 3 died, 1 was lost to follow-up, and the rest had no tumor recurrence. Conclusion Low-temperature plasma-assisted transnasal middle skull base tumor resection can safely and effectively reduce intraoperative hemorrhage, the duration of surgery, and postoperative complications.

Key words: Skull base tumor, Nasal endoscope, Radiofrequency coblation, Surgery, complications

中图分类号:

R739.8

孙川,刘亚群,何双八,张庆翔. 低温等离子辅助经鼻切除前中颅底肿瘤17例[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 55-59.

SUN Chuan, LIU Yaqun, HE Shuangba, ZHANG Qingxiang. Cryogenic plasma-assisted nasal resection of seventeen cases of anterior and middle skull base tumors[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 55-59.

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