[1]陈贤明,甄泽年,赵敏,等.鼻内镜联合显微镜经鼻腔蝶窦及中颅窝手术[J].中国微创外科杂志,2005,05(11):954-956.
　Chen Xianming,Zhen Zenian,ZhaoMin,et al.Transnasal operations on the sphenoidal sinus and the middle fossa under nasal endoscope combined with microscope[J].Chinese Journal of Minimally Invasive Surgery,2005,05(11):954-956.
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鼻内镜联合显微镜经鼻腔蝶窦及中颅窝手术()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年11期
页码:
954-956
栏目:
出版日期:
2005-11-30

文章信息/Info

Title:
Transnasal operations on the sphenoidal sinus and the middle fossa under nasal endoscope combined with microscope
作者:
陈贤明; 甄泽年; 赵敏; 王守森
南京军区福州总医院耳鼻咽喉科,福州,350025
Author(s):
Chen Xianming;  Zhen Zenian;  ZhaoMin;  etal.
DepartmentofOtolaryngology, FuzhouGeneralHospitalofNanjingMilitaryRegion, Fuzhou 350025, China
关键词:
鼻内镜; 颅中窝; 蝶窦
Keywords:
Nasal endoscope; 　Middle fossa; 　Sphenoid sinus
分类号:
R765.9
文献标志码:
A
摘要:
目的探讨鼻内镜下经鼻腔直接入路行蝶窦及中颅窝手术的方法. 方法鼻内镜下经较宽大一侧鼻腔将中鼻甲向外推移,鼻腔扩张器扩大视野,直达并开放蝶窦前壁, 鼻内镜与显微镜联合切除病变. 结果 10例孤立性蝶窦炎术后症状消失.6例蝶窦囊肿、脑膜瘤均一次手术切除.32例垂体腺瘤17例全切除,12例次全切除,3例大部分切除,术后补充X刀治疗.48例术后随访6个月～3.5年,平均2.5年,蝶窦囊肿、蝶窦炎、脑膜瘤无复发,3例垂体腺瘤复发,无颅内感染并发症,无鼻腔粘连、鼻出血等鼻腔并发症. 结论鼻内镜联合显微镜经鼻腔蝶窦及中颅窝手术损伤小、出血少、手术时间短、效果好.
Abstract:
Objective　To investigate the surgicalmethod of transnasal operations on the sphenoidal sinus and the middle fossa undernasal endoscope combinedwithmicroscope.　M ethods　The operationwas performed undernasal endoscope on the side of larger nasal cavity. Themiddle nasal turbinatewas pushed outwards. Then theHandy’s expanderwas inserted between themiddle nasal turbinate and the nasal septum in order to get a wide visualization. The sphenoidal frontalwallwas opened directly. The nasal endoscope and microscope were utilized in turn to complete the resection of lesions.　Results　The symptoms disappeared postoperatively in 10 cases of solitary sphenoidal sinusitis. The lesions of6 cases of sphenoidal cystandmeningiomawere all surgically removed on one session. Among 32 cases ofpituitary adenoma, a total resectionwas carried out in 17 cases, a subtotal resection in 12 cases, and a partial resection in 3. After surgery, a supplementalX-knife radiosurgerywas employed. Postoperative follow-up in the 48 cases for0. 5~3. 5 years (mean, 2. 5 years) showed no recurrence of sphenoidal cyst, sphenoidal sinusitis, ormeningioma, and 3 cases of recurrence of pituitary adenoma. No intracranial infection, adhesion of nasal cavity, or nasal bleeding was noted.　 Conclusions　Transnasal operations on the sphenoidal sinus and the middle fossa under nasal endoscope combined with microscope has advantages ofmild invasion, little blood loss, short operation time, and good outcomes.

参考文献/References:

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更新日期/Last Update: 2014-04-29