内镜下经蝶窦斜坡入路岩尖胆固醇肉芽肿的手术治疗

邱前辉; 梁敏志; 杨东辉; 许咪咪; 张水兴

doi:10.13201/j.issn.1001-1781.2013.14.008

内镜下经蝶窦斜坡入路岩尖胆固醇肉芽肿的手术治疗

- 1. 广东省人民医院广东省医学科学院耳鼻咽喉科(广东, 510080);
- 2. 高州市人民医院耳鼻咽喉科;
- 3. 广东省人民医院广东省医学科学院放射科

详细信息

通讯作者: 邱前辉,E-mail:qiuqianhui@hotmail.com

中图分类号: R764.9

收稿日期: 2013-01-22

Trans-sphenoid sinus-clivus endoscopic management of petrous apex cholesterol granuloma

- 1. Department of Otolaryngology, Guangdong General Hospital, Guangdong Academy of Medical Science, Gaozhou, 525200, China;
- 2. Department of Otolaryngology, Gaozhou City People's Hosiptal;
- 3. Department of Radiology, Guangdong General Hospital, Guangdong Academy of Medical Science

More Information

Corresponding author: QIU Qianhui, E-mail: qiuqianhui@hotmail.com

Received Date: 22 January 2013

摘要

摘要: 目的:探讨内镜下经蝶窦斜坡入路岩尖胆固醇肉芽肿的手术方法。方法:报道1例内镜下经蝶窦斜坡入路外科治疗右侧岩尖胆固醇肉芽肿病例,并分析内镜手术的可能入路及优缺点。结果:该患者手术成功,无并发症。术后听力恢复,耳鸣消失。术后第3天出院,随访4个月无复发。结论:内镜下经蝶窦斜坡入路是治疗岩尖胆固醇肉芽肿有效和安全的方法,术者可监控颈内动脉下直达病变部位,降低手术风险。
- 内镜 /
- 胆固醇肉芽肿 /
- 蝶窦 /
- 斜坡 /
- 岩尖
Abstract: Objective:To explore the endoscopic management of petrous apex cholesterol granuloma through trans-sphenoid sinus-clivus approach.Method: One case of right-side petrous apex cholesterol granuloma were undertaken surgical treatment through trans-sphenoid sinus-clivus approach,then the possibility of any other approach and their advantages and disadvantages were analyzed.Result:The operation was success without any complications.Patient′s hearing was recovered and tinnitus vanished.The patient was discharge from hospital at the third day after operation,and followed up for four month without recurrence.Conclusion:Trans-sphenoid sinus-clivus endoscopic management of petrous apex cholesterol granuloma is effective and safe.The operators can monitor internal carotid artery then to access to the diseased region with reducing risk.
- endoscopy /
- cholesterol granuloma /
- sphenoid /
- clivus /
- petrous apex

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参考文献(9)

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