鼻内镜手术治疗孤立性蝶窦病变疗效分析  

Endoscopic sinus surgery for isolated sphenoid sinus lesions

作　　者：胡民[1] 刘刚[1] 

机构地区：[1]淮北矿工总医院耳鼻咽喉科,235000

出　　处：《安徽医学》2013年第8期1133-1135,共3页Anhui Medical Journal

摘　　要：目的探讨孤立性蝶窦病变微创的治疗方法。方法对16例孤立性蝶窦病变行鼻内镜下经上鼻道人路扩大蝶窦自然窦口，清除病变。结果术后病理证实，慢性炎症9例，非侵袭性霉菌性蝶窦炎3例，囊肿4例，均为孤立性蝶窦病变。16例均治愈。无术中大出血、视神经损伤和脑脊液漏等严重并发症发生。术后随访6～24个月，无一例复发。结论鼻内镜下经鼻腔入路是治疗孤立性蝶窦病变的安全有效术式。Objective To explore the method and effect of endoscopic surgery for isolated sphenoid sinus lesions. Methods A direct transnasal endoscopic sphenoid sinusotomy was performed via the sphenoethmoidal recess, medial to the middle turbinate in 16 cases of isolated sphenoid sinus lesions. Results Sixteen cases with isolated sphenoid sinus diseases were verified by pathology, of which 9 cases were sinusitis, 3 were rhinomycosis, and 4 were cyst. Clinical follow - up ranged from 6 months to 24 months. The symptoms of the all cases were improved or eliminated after surgery. Conclusion The nasal endoscopic approach is a preferred method in treating isolated sphenoid sinus.

关 键 词：蝶窦 内镜 手术 

分 类 号：R765[医药卫生—耳鼻咽喉科]