小儿鼻颅底针形内窥镜的检查与手术

目的：探讨应用针形内窥镜对小儿鼻颅底疾病进行探查与手术的方法及疗效。方法：在外径１．９ｍｍ的进口针形内窥镜及电视同图像系统监视下，对８例小儿（７ｄ￣１２岁）鼻颅底有关疾病进行探杳与手术。结果：先天性后鼻孔闭锁３例中，１例好转，３例痊愈。外伤性脑脊液鼻漏１例，经修补痊愈先天性脑膜脑膨出２例，确诊后１例暂缓治疗。另１例行内窥镜手术痊愈。颅底神经母细胞瘤２例取材作病理检查确诊。结论：在电视图像监视下应用

Pediatric intranasal and skull base needle endoscopic surgery and examination

Objective:To explore the values of the application of needle endoscope in pediatric nasal cavity and skull base surgery.Method:Using a kind of needle endoscope with the diameter of 1.9 mm and digital video image system,8 cases of pediatric nasal cavity and skull base examination and surgery were performed.Result:Of 3 cases of congenital choanal atresia, one improved,the others recovered.One case ( 2.5 years old) of traumatic cerebrospinal fluid (CSF) fistulae was successfuly repaired under the 1.9 mm needle endoscope. There were 2 cases of congenital meningoencephalocele. One was 1 month newborn. When the diagnosis was confirmed by needle endoscopy and CT scan, the operation was postponed. The other got endoscopic operation and had recovered.Of 2 cases of skull base malignant tumour, the diagnosis was confirmed by intranasal biopsy under needle endoscope.Conclusion:With the application of needle endoscope, the pediatric skull base surgery and examination can be performed in the narrow nasal cavities and sinuses with less invasion and good result.