摘要
目的探讨婴幼儿鼻腔先天性占位的诊断与鼻内镜手术治疗。方法总结分析12例婴幼儿鼻腔先天性占位的临床表现、鼻内镜检查、CT及MRI影像学及术中表现。结果脑膜脑膨出3例,神经胶质瘤1例,错构瘤3例,畸胎瘤1例,血管瘤3例,胚胎性横纹肌肉瘤1例。结论婴幼儿鼻腔先天性占位良性多见,治疗以手术完全切除为主,术前鼻内镜检查、增强薄层CT及增强MRI影像学检查对术前诊断、手术方式选择和手术风险评估十分必要。鼻内镜手术可以完全切除大多数病变,并且具有创伤小、视野清晰等优点。
Objective To explore the diagnosis and transnasal endoscopic surgical treatment of congenital nasal mass of infants. Methods Clinical data including CT and MRI imaging of 12 infants with congenital nasal mass were retro spectively analyzed. Results 3 cases of meningocephaloceles, 1 glioma, 3 hamartoma, 1 teratoma and 3 hemagioma were diagnosed and removed under transnasal endoscopic approaches, and 1 case of rhabdomyosarcoma was diagnosed only following chemical treatment. Conclusion CT and MRI imaging both are helpful in characterizing the nasal mass and potential skull base defects. The transnasal endoscopic technique is helpful in completely removing the nasal masses in most cases and promptly repairing the skull base defects along with precise visualization and minimally invasiveness.
出处
《山东大学耳鼻喉眼学报》
CAS
2013年第3期36-38,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
鼻腔占位
先天性
婴幼儿
鼻内镜外科手术
Nasal mass, congenital
Infants
Endoscopic surgical procedures, operative
