影像导航引导经鼻内镜在鼻颅底肿瘤切除中的应用  

Application of an image navigation system in nasal endoscopic surgery in treatment of basicranial tumor

作　　者：李大伟[1] 张庆丰[1] 李梅[2] 

机构地区：[1]大连市中心医院耳鼻咽喉头颈外科,辽宁大连116033 [2]大连市中心医院综合神经外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第3期249-251,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：对影像导航引导经鼻内镜在鼻颅底肿瘤切除中作用进行评价。方法：在影像导航技术的引导下,采取鼻内镜手术治疗17例鼻颅底肿瘤患者。结果：术前影像导航配准时间平均25 min,导航提供了误差0.5~2.0mm（平均1.2mm）的准确定位,手术时间1.5~3h。手术均彻底切除肿瘤。1例并发脑脊液漏,2例损伤眶骨膜,2例术后半年复发。结论：影像导航系统结合鼻内镜手术治疗鼻颅底肿瘤具有定位准确、手术创伤小等优点,可有效提高手术疗效和避免并发症的发生。Objective：To investigate the therapeutic effects of the image navigation system in nasal endoscopic surgery in treatment of basicranial tumor. Method： Retrospective analysis was carried out in 17 patients with basi- cranial tumor who underwent nasal endoscopic resection via image navigation system. The accuracy of image navi- gation system, operation procedure time, curative effect and complications were analyzed and summarized to evalu-ate the effect. Result：The image navigation system provided an accurate anatomical localization 0.5--2.0 mm local- ization error （mean 1.2 mm）. The operation procedure time was 1.5- 3.0 h. Postoperative complications occurred in 3 of 17 patients including eerebrospinal fluid rhinorrhea and injury of sieve plate. Two patients recru- desce within half a year. Conclusion：The image navigation system in combination with a nasal endoscope is helpful in the resection of basicranial tumor with minimal trauma, increasing the curative effect and avoiding complica- tions.

关 键 词：影像导航 鼻内镜 鼻颅底肿瘤 

分 类 号：R739.62[医药卫生—肿瘤]