孤立性翼突良性病变的诊断与治疗

李丹凤; 石照辉; 王剑; 申金金; 陈福权

doi:10.13201/j.issn.1001-1781.2016.02.001

孤立性翼突良性病变的诊断与治疗

- 第四军医大学西京医院耳鼻咽喉头颈外科(西安, 710032)
基金项目:
陕西省卫生厅-卫生科研基金项目(No:D64)

详细信息

通讯作者: 陈福权,E-mail:chenfq@fmmu.edu.cn

中图分类号: R739.65

收稿日期: 2015-11-14

Diagnosis and treatment of solitary pterygoid benign lesions

- Department of Otolaryngology-Head and Neck Surgery, Xijing Hospital Affiliated to the Fourth Military Medical University, Xi'an, 710032, China

More Information

Corresponding author: CHEN Fuquan, E-mail: chenfq@fmmu.edu.cn

Received Date: 14 November 2015

摘要

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。
- 翼突根 /
- 鼻内镜手术 /
- 良性病变
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.
- pterygoid process /
- endoscopic surgery /
- benign lesion

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