山东大学耳鼻喉眼学报 ›› 2009, Vol. 23 ›› Issue (6): 15-.

• 论文 • 上一篇    下一篇

影像导航技术在鼻腔鼻窦内翻性乳头状瘤手术中的应用

姜绍红1,朱宇宏1, 王 强1, 王文一2   

  1. 1. 青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉科-头颈外科, 山东 烟台 264000;
    2.  文登整骨医院耳鼻咽喉科,山东 文登 264400
  • 收稿日期:2009-03-25 修回日期:2009-12-03 发布日期:2009-12-16
  • 作者简介:姜绍红(1974- ),女,主治医师,主要从事耳鼻喉疾病的临床诊治研究。 Email:lyly110@21cn.com

 Application of image guidance in the surgical treatment of nasal inverted papilloma

JIANG Shaohong, ZHU Yuhong,  WANG Qiang,  WANG Wenyi   

  1. 1. Department of Otorlaryngology & Head and Neck Surgery,  Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai 264000, Shandong,  China;
    2.  Department of Otorlaryngology,Wendeng Osteonosus Hospital,  Wendeng 264400,  Shandong,  China
  • Received:2009-03-25 Revised:2009-12-03 Published:2009-12-16

摘要:

目的  探讨影像导航技术在鼻腔鼻窦内翻性乳头状瘤(NIP)手术中的应用价值 。方法  将68例行手术治疗NIP患者按时间顺序分为前、后两组,前组应用鼻内镜手术或鼻内镜手术+传统术式(2001年5月~2004年12月)34例,后组以前组术式为基础加用影像导航技术(2005年1月~2007年6月)34例,对两组术后复发率进行比较。结果  应用影像导航技术的后组术后复发率低于前组,差异有统计学意义(P<0.05)。 结论  影像导航技术在鼻腔鼻窦内翻性乳头状瘤手术中能进行三维重建,具有定位准确、影像立体,不受组织移位和解剖复杂影响的优点,可降低术后的复发率。

关键词:  影像导航;乳头状瘤,内翻性;耳鼻喉外科手术

Abstract:

Objective  To evaluate the application of image guidance in the surgical treatment of nasal inverted papilloma . Methods  Sixty-eight patients with nasal inverted papilloma were hospitalized and underwent operations. They were divided into two groups. Group 1 were hospitalized from May 2001 to Dec. 2004 and all underwent endoscope or/and classic operation. Group 2 were hospitalized from Jan. 2005 to June 2007, and all underwent endoscope or/and  classic operation  using an image guidance technique. Results  The relapse rate of group 2 was significantly lower than that of group 1(P<0.05).  Conclusion  Image guidance technique helps to reconstruct the 3d structure with accurate positioning. It is not influenced by tissue displacement and complicated anatomical structure, so it can strikingly lower the relapse rate.

Key words: Image guided;  Papilloma, inverted;  Otorhinolaryngologic surgical procedures,operative

中图分类号: 

  • R765
[1] 袁晓培1,王建英2,邢志敏1,余力生1. 不伴有鼻息肉的成人慢性鼻-鼻窦炎的临床评估及鼻内镜手术[J]. 山东大学耳鼻喉眼学报, 2010, 24(2): 30-34.
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