摘要
报道1992年到1997年经鼻内窥镜鼻内筛蝶窦进路完成颅底区域手术28例,包括:①脑脊液鼻漏修补术17例,均一次手术治愈;②垂体瘤部分切除术4例,均一次手术治愈;③侵入颅内的巨大筛蝶窦囊肿切除术2例,1例治愈,1例因颈内动脉破裂出血于术中死亡;④前颅底脑膜瘤切除术1例,术后4年未复发;⑤鼻咽顶颅咽管瘤切除术1例,术后3年未复发;⑥侵犯鞍区的蝶窦癌切除术2例,1例术后2年未复发,1例术后介入治疗误栓颈内动脉死亡;⑦前颅窝枪弹异物取除术1例。根据临床实践,提出经鼻内窥镜颅底区域手术的可行性、范围和适应证,各种手术的操作原则和规范技术以及重大并发症的预防和处理方式。
Twenty-eight cases of endoscopic operations around cranial base area were performed by intranasal appoach from 1992 to 1997. Including. 1. Cerebrospinal fluid rhinorrhea repaired in 17 cases, all of them were cured by one-stage surgery. 2. Succeeded pituitary tumor surgery in 4 cases. 3. Massive invaded intracranial ethmoshenoidal cysts resected in 2 cases, in which one was cured, and the other one died from internal carotid arteriorrhexis in surgical process. 4. Anterior cranial base meningioma resected in 1 case, and has no recurrent in 4 years following up period. 5. Nasopharyngeal craniopharyngioma resected in 1 case, and has no recurrent in 4 years following up period. 6. Sphenoidal carcinoma invaded saddle area resected in 2 cases, one of which has no recurrent in 2 years of postoperation, another one was died in interventional treatment process because of accidentally embolism in internal carotid artery. 7. Cartridge foreign body in anterior skull carity removed in 1 case. The feasibility, limits, indication were discussed depend on our practice. And the surgical principle, prevent, and management of complications were also discribed. [Chinese Arch Otolaryngol Head Neck Surg, 1998; 5 (4): 205～209 From the Department of Otolaryngology, Third Affiliated Hospital of Zhongshan Medical University, Guangzhou 510630 (Dr. Xu Geng)]
出处
《耳鼻咽喉（头颈外科）》
1998年第4期205-209,共5页
Chinese Arch Otolaryngology-Head Neck Surg
