| 鼻内镜下泪前隐窝入路翼腭窝肿瘤切除的研究 |
| 投稿时间：2016-11-07 修订日期：2017-07-04 点此下载全文 |
| 引用本文：马亮,孙中武.鼻内镜下泪前隐窝入路翼腭窝肿瘤切除的研究[J].医学研究杂志,2018,47(3):130-133 |
| DOI：
10.11969/j.issn.1673-548X.2018.03.032 |
| 摘要点击次数: 815 |
| 全文下载次数: 534 |
|
| 基金项目:北京航天总医院创新基金资助项目（2013-515） |
|
| 中文摘要:目的 分析沿上颌窦外侧壁切除翼腭窝肿瘤的手术疗效和并发症发生情况。方法 选取笔者医院2012年3月~2015年6月接收的翼腭窝肿瘤患者9例，均采用鼻内镜下经泪前隐窝-上颌窦入路的手术方法切除翼腭窝肿瘤。手术采用全身麻醉法，同时控制术中患者低血压状态。术前以接受鼻窦CT和MRI检查为主，术后定期进行随访观察。结果 所有研究对象均成功完成手术，翼腭窝肿瘤得到一次性清除，并于术后6~12天痊愈出院。术后随访3~24个月内虽有2例患者出现短暂面部上颌神经轻微麻痹的现象，但整体无严重并发症或复发情况。结论 经鼻内镜下泪前隐窝入路切除翼腭窝肿瘤能够安全有效地清除肿瘤组织，保留鼻腔外侧壁的完整性，最大程度减轻面部的损伤和鼻腔功能，是一种并发症少、复发率低、恢复快的新型微创入路法，值得在临床中推广使用。 |
| 中文关键词:内镜 泪前隐窝入路 翼腭窝 肿瘤 |
| |
| A Study of Resection of Pterygopalatine Fossa Tumor by Transnasal Recessed Approach under Nasal Endoscope |
|
|
| Abstract:Objective To analyze and discuss the surgical outcome and complications of resection of pterygopalatine fossa tumor along the lateral wall of maxillary sinus. Methods Nine patients with pterygopalatine fossa tumors received from March 2012 to June 2015 were treated by transnasal endoscopic approach to resect the pterygopalatine fossa tumors by transnasal recess-maxillary sinus approach. Surgery used general anesthesia, while controlling intraoperative hypotension in patients. The CT and MRI examinations of the sinuses were performed before operation, and the patients were followed up regularly. Results All of the patients underwent successful operation. The pterygopalatine fossa tumors were cleared once, and were discharged after 6-12 days. Although there were 2 patients with mild facial paralysis of the maxillary nerve in 3-24 months of follow-up, there was no serious complication or recurrence. Conclusion The removal of pterygopalatine fossa tumors by transnasal endoscopic approach can safely and effectively remove the tumor tissue and preserve the integrity of the lateral wall of the nasal cavity, minimize facial trauma and nasal cavity function. It is a complication less, low recurrence rate, rapid recovery of the new minimally invasive approach, it is worth to promote the use of clinical. |
| keywords:Endoscopy Presacral approach Pterygopalatine fossa Tumor |
| 查看全文 查看/发表评论 下载PDF阅读器 |
