影像磁导航技术在鼻颅底内镜手术中的应用  

APPLICATION OF MAGNETIC NAVIGATION TECHNIQUES IN ENDOSCOPIC ENDONASAL SKULL BASE SURGERY

作　　者：温君凤[1] 郑春歌 刘芸 丰暖 王琳[2,3] 张胜男 陈敏 崔鑫[6] 姜彦 WEN Junfeng;ZHENG Chunge;LIU Yun;FENG Nuan;WANG Lin;ZHANG Shengnan;CHEN Min;CUI Xin;JIANG Yan(Operating Room, The Affiliated Hospital of Qingdao University, Qingdao 266003, China)

机构地区：[1]青岛大学附属医院手术室,山东青岛266003 [2]青岛大学附属医院耳鼻咽喉头颈外科、鼻颅底外科 [3]山东省耳鼻咽喉头颈外科重点实验室 [4]青岛市中医医院感染管理科 [5]青岛市妇女儿童医院营养科 [6]青岛市妇女儿童医院耳鼻咽喉科

出　　处：《精准医学杂志》2020年第5期449-452,共4页Journal of Precision Medicine

基　　金：国家自然科学基金资助项目(81770978);中国博士后科学基金资助项目(20110491558);山东省重点研发计划资助项目(2018GSF118012);山东省医药卫生科技发展计划项目(2016WS-026)。

摘　　要：目的探讨影像磁导航技术在鼻颅底外科内镜手术中的应用效果。方法分析2017年2月—2019年12月行影像磁导航技术辅助下内镜鼻颅底手术的114例患者的临床资料,对术中关键解剖部位磁导航精确性、手术时长、术中出血量等进行分析。结果手术时间为0.5~7.5 h,术中出血量为50~1200 mL,共随访50例患者,其中5例恶性肿瘤患者复发,45例患者术后恢复良好。结论影像磁导航技术能提高鼻颅底区域病变手术的准确性,可实现精准治疗,临床应用效果较好。Objective To investigate the application of magnetic navigation techniques in endoscopic endonasal skull base surgery.Methods A retrospective analysis was performed for the clinical data of 114 patients who underwent endoscopic endonasal skull base surgery assisted by magnetic navigation techniques from February 2017 to December 2019,and accuracy of magnetic navigation techniques for key anatomical sites,time of operation,and intraoperative blood loss were analyzed.\ResultsThe time of operation was 0.5-7.5 h,and the intraoperative blood loss was 50-1200 mL.Follow-up was performed for 50 patients,among whom 5 patients experienced the recurrence of malignant tumor and 45 patients had good postoperative recovery.Conclusion\Magnetic navigation techniques can improve the accuracy of surgery for endonasal skull base lesions and may help to realize precision medicine,with a good clinical application effect.

关 键 词：外科手术 计算机辅助 磁导航技术 鼻颅底 内窥镜检查 治疗结果 

分 类 号：R762[医药卫生—耳鼻咽喉科] R443.7[医药卫生—临床医学]