鼻内镜下鼻中隔径路蝶窦手术

山东大学耳鼻喉眼学报

鼻内镜下鼻中隔径路蝶窦手术

胡道彩，高琼，马利娟，乔丽平

沭阳县人民医院耳鼻咽喉科，江苏沭阳 223600

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-02-24 发布日期:2008-02-24
通讯作者: 胡道彩

Trans-sphenoidal surgery via an endoscopic septum approach

HU Dao-cai， GAO Qiong， MA Li-juan， QIAO Li-ping

Department of Otolaryngology， Shuyang People′s Hospital， Shuyang 223600， Jiangsu， China

Received:1900-01-01 Revised:1900-01-01 Online:2008-02-24 Published:2008-02-24
Contact: HU Dao-cai

摘要/Abstract

摘要： 目的探讨利用鼻内镜手术治疗蝶窦良性病变伴有鼻中隔偏曲的方法和体会。方法26例患者均在鼻内镜下行鼻中隔径路蝶窦手术，先行鼻中隔矫正，再沿骨性中隔向后找到蝶嘴，并开放蝶窦前壁，处理蝶窦病变。结果本组患者均顺利完成经鼻中隔径路蝶窦开放，术后症状完全消失，其中24例经随访6个月至1年未见复发，其余患者中1例蝶窦囊肿在术后7个月复发，1例蝶窦后鼻孔息肉在术后10个月复发，均于门诊复查时顺利摘除。结论鼻内镜下经鼻中隔径路蝶窦开放具有创伤小、定位准确等优点，是一种安全、有效的手术方式。

关键词: 内窥镜检查, 蝶窦, 鼻中隔偏曲

Abstract: To investigate the approach and experience of endoscopic surgery in sphenoid sinus occupying lesions associated with a deviated septum. MethodsEndoscopic transsphenoidal approach septum surgeries were performed on 26 patients. The nasal septum was first corrected, second the butterfly mouth was found along the rear bony septum, then the anterior wall was opened and finally the sphenoid sinus disease was treated. ResultsAll surgeries were successfully completed by the approach of a trans-sphenoidal opening of the nasal septum. Symptoms of the patients completely disappeared after surgery. 24 cases were followed up for 6 to 12 months and no recurrence was found. In the other 2 cases, 1 with a sphenoid sinus cyst had a recurrence 7 months after the operation and the other with a sphenoid sinus polyp had a recurrence 10 months after the operation, but both were removed at the clinic. ConclusionThe endoscopic trans-sphenoidal approach septum surgery appears to be a safe and effective method because of its mild trauma and precise positioning.

Key words: Sphenoid sinus, Deviated septum , Endoscopy

中图分类号:

765.4

胡道彩,高琼,马利娟,乔丽平 . 鼻内镜下鼻中隔径路蝶窦手术[J]. 山东大学耳鼻喉眼学报, 2008, 22(1): 71-73 .

HU Dao-cai,GAO Qiong,MA Li-juan,QIAO Li-ping . Trans-sphenoidal surgery via an endoscopic septum approach[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(1): 71-73 .

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