影像导航引导经鼻内镜在鼻颅底肿瘤切除中的应用

李大伟; 张庆丰; 李梅

doi:10.13201/j.issn.1001-1781.2015.03.015

影像导航引导经鼻内镜在鼻颅底肿瘤切除中的应用

- 1 大连市中心医院耳鼻咽喉头颈外科(辽宁大连, 116033);
- 2 大连市中心医院综合神经外科

详细信息

通讯作者: 张庆丰,E-mail:13500718828@163.com

中图分类号: R739.6

收稿日期: 2014-09-15

Application of an image navigation system in nasal endoscopic surgery in treatment of basicranial tumor

- 1 Department of Otolaryngology Head and Neck Surgery, Dalian Central Hospital, Dalian, 116033, China;
- 2 Department of Neurosurgery, Dalian Central Hospital

More Information

Corresponding author: ZHANG Qingfeng, E-mail: 13500718828@163.com

Received Date: 15 September 2014

摘要

摘要: 目的:对影像导航引导经鼻内镜在鼻颅底肿瘤切除中作用进行评价。方法:在影像导航技术的引导下,采取鼻内镜手术治疗17例鼻颅底肿瘤患者。结果:术前影像导航配准时间平均25 min,导航提供了误差0.5~2.0 mm(平均1.2 mm)的准确定位,手术时间1.5~3 h。手术均彻底切除肿瘤。1例并发脑脊液漏,2例损伤眶骨膜,2例术后半年复发。结论:影像导航系统结合鼻内镜手术治疗鼻颅底肿瘤具有定位准确、手术创伤小等优点,可有效提高手术疗效和避免并发症的发生。
- 影像导航 /
- 鼻内镜 /
- 鼻颅底肿瘤
Abstract: Objective: To investigate the therapeutic effects of the image navigation system in nasal endoscopic surgery in treatment of basicranial tumor.Method: Retrospective analysis was carried out in 17 patients with basicranial tumor who underwent nasal endoscopic resection via image navigation system. The accuracy of image navigation system, operation procedure time, curative effect and complications were analyzed and summarized to evaluate the effect.Result: The image navigation system provided an accurate anatomical localization 0.5-2.0 mm localization error (mean 1.2 mm). The operation procedure time was 1.5-3.0 h. Postoperative complications occurred in 3 of 17 patients including cerebrospinal fluid rhinorrhea and injury of sieve plate. Two patients recrudesce within half a year.Conclusion: The image navigation system in combination with a nasal endoscope is helpful in the resection of basicranial tumor with minimal trauma, increasing the curative effect and avoiding complications.
- image navigation /
- nasal endoscope /
- basicranial tumor

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参考文献(5)

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