[1]高松 张国民＊ 谢铠鹏 伍小琴 吴文斌.鼻内镜下手术治疗伴视力减退的蝶筛窦囊肿（附11例报告）[J].中国微创外科杂志,2014,14(12):1122-1124.
　Gao Song,Zhang Guomin,Xie Kaipeng,et al.Nasal Endoscopic Surgery for Sphenoidal and Ethmoidal Cysts with Visual Loss: a Report of 11 Cases[J].Chinese Journal of Minimally Invasive Surgery,2014,14(12):1122-1124.
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鼻内镜下手术治疗伴视力减退的蝶筛窦囊肿（附11例报告）()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年12期
页码:
1122-1124
栏目:
临床研究
出版日期:
2014-12-20

文章信息/Info

Title:
Nasal Endoscopic Surgery for Sphenoidal and Ethmoidal Cysts with Visual Loss: a Report of 11 Cases
作者:
高松 张国民＊ 谢铠鹏 伍小琴 吴文斌
解放军第175医院耳鼻咽喉科厦门大学附属东南医院耳鼻咽喉科，漳州363000
Author(s):
Gao Song;  Zhang Guomin;  Xie Kaipeng;  et al.
Department of Otolaryngology, No. 175 Hospital of PLA, Zhangzhou 363000, China
关键词:
视力减退; 蝶筛窦囊肿; 鼻内镜手术
Keywords:
Visual loss; Sphenoidal and ethmoidal cysts; Nasal endoscopic surgery
分类号:
R739.62
文献标志码:
A
摘要:
目的探讨鼻内镜手术治疗伴视力减退的蝶筛窦囊肿的疗效。方法2006年1月~2013年6月对11例蝶筛窦囊肿行鼻内镜下鼻腔鼻窦探查，鼻窦开放术，清除窦腔内囊肿，术后常规使用激素并定期随访。结果手术时间50～90 min，平均65 min；出血量50～100 ml，平均60 ml。11例术后病理：黏液囊肿。术后随访6~12个月，头痛、鼻根部疼痛基本消失。视力恢复情况：2例由术前眼前指数分别提高到0.3、0.5，其余9例恢复到发病前水平。结论鼻内镜手术治疗伴有视力减退的鼻窦囊肿疗效满意，及时手术是恢复视力的关键。
Abstract:
ObjectiveTo explore the clinical efficacy of sphenoidal and ethmoidal cysts with visual loss by nasal endoscopic surgery.MethodsEleven cases (11 eyes) of sphenoidal and ethmoidal cysts with visual impairment were reviewed retrospectively. The patients received endoscopic surgery to remove cysts. Steroid therapy was given postoperatively and routine examinations with endoscopy were carried out during the followup. ResultsThe operation time was 50-90 min (mean, 65 min), and the intraoperative blood loss was 50-100 ml (mean, 60 ml). Postoperative pathological examinations showed mucous cysts. Followup observations for 6-12 months in the 11 cases found the majority of symptoms, such as pain in nose and headache, disappeared. The postoperative visual acuity outcomes were improved from fingers counting to 0.3 and 0.5 in 2 eyes, respectively, and recovered to premorbid level in 9 eyes.ConclusionsEndoscopic surgery is effective to sphenoidal and ethmoidal cysts with visual loss. Prompt surgical intervention is crucial to visual recovery.

参考文献/References:

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备注/Memo

备注/Memo:
＊通讯作者，Email:zgm7224@yahoo.com.cn
更新日期/Last Update: 2014-12-20