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.

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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

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