经鼻内镜手术治疗鼻腔鼻窦骨纤维瘤致视神经损伤探讨  

Treatment of optic nerve injury caused by bone fiber benign tumor of nasal cavity and paranasal sinuses through nasal endoscopic salvage surgery

作　　者：胡绍柱 陈珍 郑鹏 朱冰 HU Shaozhu;CHEN Zhen;ZHENG Peng;ZHU Bing(Department of Ophthalmology,Wanjiang Eye Hospital,Mianyang 621000)

机构地区：[1]绵阳万江眼科医院眼科,四川绵阳621000

出　　处：《中国实用眼科杂志》2021年第1期27-30,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨经鼻内镜挽救性手术治疗鼻腔鼻窦骨纤维良性肿瘤致视神经损伤的疗效。方法回顾性分析10例鼻腔鼻窦骨纤维良性肿瘤导致视神经病损患者。按手术方式分为观察组和对照组,每组5例。对照组接受开放式挽救性手术治疗,观察组接受经鼻内镜挽救性手术治疗。比较两组患者视力改善情况、并发症发生率及疾病复发率。结果观察组的视力改善总有效率100%,高于对照组的60.0%;观察组的手术时间、术中出血量均低于对照组;其术后视野高于对照组,差异有统计学意义(P<0.05)。术后随访1年,观察组并发症发生率20.0%,疾病复发率为0%(0/5);对照组并发症发生率为80.0%,疾病复发率为20.0%(1/5)。结论经鼻内镜挽救性手术治疗鼻腔鼻窦骨纤维良性肿瘤导致视神经病损近远期疗效较好,可有效改善视力状态,降低并发症发生率及疾病复发率。Objective To investigate the effect of nasal endoscopic salvage surgery optic nerve injury caused by bone fiber benign tumor of nasal cavity and paranasal sinuses.Methods 10 patients with optic nerve lesion caused by benign bone fiber tumor of nasal cavity and paranasal sinuses were randomly divided into observation group and control group,with 5 cases in each.The control group received open salvage surgery,the observation group received nasal endoscopic salvage surgery.The improvement of vision,the incidence of complications and the recurrence rate were compared between the two groups.Results The total effective rate of vision improvement in the observation group was 100%,higher than that in the control group 60%,the postoperative visual field of the observation group was higher than that of the control group,the incidence of complications was 20%The recurrence rate was 0%in observation group,while the datawas 80%and 20%in control group.Conclusions The endoscopic salvage surgery can effectively improve visual acuity,reduce the incidence of complications and disease recurrence.

关 键 词：鼻腔鼻窦 骨纤维 良性肿瘤 视神经 鼻内镜挽救性手术 视力 并发症 复发 

分 类 号：R73[医药卫生—肿瘤]