经中鼻甲基板入路蝶窦开放术治疗孤立性蝶窦病变  

Treatment of isolated sphenoid sinus disease by trans-basal lamella approach to sphenoid sinus

作　　者：李军[1] 吴彦桥[1] 李晓明[1] 邸斌[1] 王丽梅[1] 

机构地区：[1]白求恩国际和平医院耳鼻咽喉头颈外科,石家庄050082

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第16期1317-1319,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨经中鼻甲基板入路蝶窦开放术治疗孤立性蝶窦病变的安全性及可行性。方法:64例孤立性蝶窦病变患者接受鼻内镜下经中鼻甲基板水平部入路蝶窦和后筛开放,切开中鼻甲基板水平部,进入上鼻道,以上鼻甲为标志开放蝶窦和后组筛窦。结果:术中未发生严重并发症。术后随访1年,真菌性蝶窦炎30例、蝶窦囊肿13例、慢性蝶窦炎12例、蝶窦息肉6例、乳头状瘤3例均无局部复发,蝶窦口开放良好,无闭锁。结论:中鼻甲基板水平部入路蝶窦开放术不但可以更好地开放蝶窦和后组筛窦,而且处理孤立性蝶窦病变更安全有效。Objective：The aim of this study is to investigate the safety and practicability of the trans-horizontal basal lamella sphenoidotomy approach in the treatment of the isolated sphenoid sinus disease.Method：Sphenoidotomy and posterior-ethmoidotomy by endoscopic trans-horizontal basal lamella approach were performed in 64 patients who were diagnosed with isolated sphenoid sinus.The horizontal course of the basal lamella is perforated and opened,and the superior meatus is entered.Then sphenoidotomy and posterior-ethmoidotomy were performed by the landmark superior turbinate.Result：All patients were successfully operated without serious complications.After 1year follow-up,no recurrence were found in 30 cases of fungal sphenoid sinusitis patients,12 cases of chronic sphenoidal sinusitis patients,13 cases of sphenoid sinus cyst patients,6cases of sphenoid sinus polyps patients,and 3cases of sphenoid sinus inverted papilloma patients.The ostium of sphenoid sinus maintained well without atresia.Conclusion：Trans-horizontal basal lamella approach to sphenoid sinus is safe and effective in the treatment of isolated lesion,and the opening of sphenoid sinus and posterior-ethmoid sinus were enlarged better by this technique.

关 键 词：内镜外科手术 中鼻甲基板 蝶窦 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]