-
摘要: 目的:探讨孤立性翼突良性病变的临床和病理特征,以及经鼻内镜手术治疗和转归特点。方法:回顾性分析我科收治的4例翼突良性病变患者的临床资料。术前均行高分辨率CT及增强MRI检查,全身麻醉,经鼻内镜行肿物切除手术。术后随访12~48个月,行鼻内镜及MRI检查,了解术腔恢复情况及术后复发情况及手术前后症状改变及缓解情况。结果:术后病理确诊,2例为囊肿性病变,1例为梭形细胞脂肪瘤,1例为炎性病变。术后随访术腔瘢痕形成,表面光滑,术后无复发,术后未有新发症状,术后鼻塞缓解,头痛症状无变化。结论:高分别率CT结合增强MRI对于翼突部位病变的位置、范围、性质的确定有重要意义。经鼻内镜切除孤立性翼突良性病变是一种微创、安全、有效的治疗方法。Abstract: Objective:To investigate the clinical and pathological features of solitary pterygoid benign lesions, as well as the treatment and outcome of endoscopic surgery.Method:We retrospectively analyzed clinical data of 4 patients with pterygoid benign lesions in our department. High resolution CT and enhanced MRI were performed before the operations, then endoscopic surgeries were carried out under the circumstance of general anesthesia. After a follow-up in 12 months to 48 months,nasal endoscopy and MRI examination were performed. Therefore we are able to understand the situation of operations and postoperative recurrences, and to inquire about the changes of symptoms and the relief of symptoms before and after surgery.Result:From the Pathological diagnosis, it showed 2 cases of cystic lesions, 1 case of spindle cell lipoma, 1 case of inflammatory lesion. Postoperative follow up showed scar formation, smooth surface, no recurrence, and no new symptom. Nasal obstruction is relieved after the surgery, and no changes in the sympotoms of headache were observed.Conclusion:The combination of high resolution CT with enhanced MRI isimportant for ascertaining the location, extent and nature of the pterygoid lesions. Endoscopic surgery is a minimally invasive, safe, and effective method for the treatment of solitary pterygoid benign lesions.
-
Key words:
- pterygoid process /
- endoscopic surgery /
- benign lesion
-
-
[1] 张勤修,刘世喜,安会明,等.鼻内镜手术相关骨性翼腭窝临床应用解剖[J].中国临床解剖学杂志,2006,24(2):122-124.
[2] 敖勇,张华.鼻内镜下经鼻腔入路翼腭窝解剖学研究[J].临床耳鼻咽喉头颈外科杂志,2009,23(12):535-538.
[3] AO Y,ZHANG H.The anatomical study of the pterygopalatine fossa under endoscopy via the nasal cavity approach[J].Clin Otorhinolaryngol Head Neck Surg,2009,23:535-538.
[4] WEILAND D A,BALTIMORE N A.Anunusual presentation of a cholesterol granuloma in a pneumatized pterygoid process of the sphenoid sinus[J].Otolaryngol-Head Neck Surg,2007,136:153-154.
[5] EL AMRI G,MALINVAUD D.,LACCOURREYE O,et al.Cystic lesions of the pterygoid process[J].Eur Ann Otorhinolaryngol Head Neck Dis,2014,131:61-63.
[6] BENNETT G,APRIL M,HUVOS A G.Lymphatic malformatiom of sphenoid sinus in a pediatric patient[J].Otolaryngol Head Neck Surg,2004,131:784-786.
[7] 文华,李黎明,李武铭,等.颅骨板障表皮样囊肿的影像诊断[J].中国CT和MRI杂志,2014,12(1):28-30.
[8] 郑朝攀,周敬淳,韩灵,等.内镜翼突入路治疗中颅底良性占位性病变[J].山东大学耳鼻喉眼学报,2015,29(1):51-54.
[9] 庞伟峰,李开,李会军,等.孤立性骨囊肿1例[J].山西医科大学学报,2014,45(11):1113-1114.
[10] 赵军.单房性骨囊肿的治疗进展[J].中华肿瘤防治杂志,2012,19(15):1196-1199.
[11] 刘坤,俞晨杰,高下,等.鼻咽部梭形细胞脂肪瘤伴骨化1例[J].中国耳鼻咽喉颅底外科杂志,2014,20(1):81-82.
[12] PEKARSKI K L,PRAYSON R A.Suprasellar spindle cell Lipoma[J].Ann Diagn Pathol,2009,13:173-175.
[13] 章华,赵素萍,蒋卫红,等.颅底炎性假瘤的诊断和治疗-附2例报道[J].中国耳鼻咽喉颅底外科杂志,2007,13(3):193-196.
[14] 尹志华,王广科,刘宏建,等.儿童翼腭窝肿瘤的诊治体会[J].临床耳鼻咽喉头颈外科杂志,2014,28(14):1078-1079.
-
计量
- 文章访问数: 23
- PDF下载数: 37
- 施引文献: 0