鼻内窥镜下蝶筛区域手术51例临床分析

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。

Transnasal endoscopic sinus surgery for diseases in the ethmoid-sphenoid area

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.