摘要
目的:探讨蝶筛区域病变的特点,提高对本病的诊断及治疗水平。方法:经鼻内窥镜行蝶筛区域手术51例,41例蝶筛窦同时受累者采用经筛窦进路,10例孤立性蝶窦病变采用经鼻腔进路。结果:均无大量出血及其它严重并发症。随访6～36个月,48例痊愈,3例复发,经再次手术后痊愈。结论:蝶筛区域位置隐蔽,早期无特征性症状,易被临床医师忽视。CT检查对本病有较大价值,且对手术具有指导作用;经鼻内窥镜对蝶筛区域病变进行手术治疗,具有创伤少,痛苦小,面部不遗留瘢痕的优点。
Objective; To explore the proprieties of diseases in the ethmoid-sphenoid area and improve the effects of treatment and diagnose of these kinds of diseases. Method; 51 cases of diseases in the ethmoid-sphenoid areas,who had undergone transnasal endoscopic sinus surgery, were investigated. Among them,41 cases of diseases in the ethomid-sphenoid area involved at the same time were undergone surgery by ethmoid approach, 10 cases with isolated sphenoid diseases were done via nasal cavity. Result; Forty-eight cases did not develop serious complications after surgical treatments, and 3 cases recurrence during the follow-up. Conclusion; Diseases in the ethmoid-sphenoid area readily ignored because there are few specific early-stage symptoms. Computer-tomographer scan is helpful to the diagnose and introductive to the procedure of surgery. Transnasal endoscopic sinus surgery can make patients suffer less, and leaves no scar in the face.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2002年第11期584-585,共2页
Journal of Clinical Otorhinolaryngology
