显微外科技术辅助鼻-颅底肿瘤切除的临床体会

朱歆洁; 陈智斌

doi:10.13201/j.issn.1001-1781.2018.06.013

显微外科技术辅助鼻-颅底肿瘤切除的临床体会

朱歆洁,
陈智斌^,

- 1. 南京医科大学第一附属医院江苏省人民医院耳鼻咽喉科(南京, 210029)

详细信息

通讯作者: 陈智斌,E-mail:czbnj@163.com

中图分类号: R739.62

收稿日期: 2017-12-21

Clinical experience of resection for nasal skull-base tumors by microsurgical-assisted technique

ZHU Xinjie,
CHEN Zhibin^,

- Department of Otorhinolaryngology, the First Affiliated Hospital, Nanjing Medical University, Nanjing, 210029, China

More Information

Corresponding author: CHEN Zhibin, E-mail: czbnj@163.com

Received Date: 21 December 2017

摘要

摘要: 目的:探讨显微外科技术在鼻-颅底肿瘤切除术中的应用。方法:回顾分析我科2012-02-2017-06期间收治的15例鼻-颅底肿瘤患者的临床资料,采用显微外科技术辅助,经鼻侧切开径路或上颌窦后壁径路切除肿瘤。结果:所有患者肿瘤均达到显微镜下全部切除,术后无出血、脑脊液漏、术腔或颅内、眶内感染及脑膜脑膨出等并发症发生。术后随访半年至5年,1例失访,7例无瘤生存,7例局部复发或转移,其中带瘤生存6例,死亡1例。结论:显微外科技术辅助下切除鼻-颅底肿瘤视野清晰,手术精确度和安全性高。
- 显微外科技术 /
- 鼻腔鼻窦肿瘤 /
- 颅底肿瘤
Abstract: Objective:To investigate the application of the microsurgical treatment in nasal skull-base tumors resection.Method:In a retrospective study, totally 15 cases with tumors in the nasal skull-base received microsurgical-assisted treatment in our department from February 2012 to June 2017 were analysed. Lateral rhinotomy approach was carried out in 11 patients and posterior wall of the maxillary sinus approach in 4 patients.Result:Tumors of all cases were completely resected under the microscope. Postoperative bleeding, cerebrospinal fluid leakage, infection and meningo-encephalocele did not occur in this series. The postoperative follow-up time were 6 months to 5 years. One case lost follow-up, seven cases were survivor of tumor-free. Seven cases had recurrence or metastasis, with one case died and other six alive with tumor.Conclusion:Microsurgical-assisted resection for nasal skull-base tumors can obtain clear vision, with high surgical precision and security.
- microsurgical treatment /
- rhinosinusal tumors /
- skull-base tumors

HTML全文

参考文献(10)

[1]	邵华, 阮标.上颌窦后壁进路翼腭窝的解剖学研究[J].云南医药, 2012, 33 (1):7-11.
[2]	于爱民, 关兵, 罗兰, 等.经鼻内镜切除良性鼻-颅底肿瘤 (附11例报告)[J].中国微创外科杂志, 2011, 11 (8):725-745.
[3]	江文, 冯永, 孙正良, 等.累及前颅底的鼻腔鼻窦恶性肿瘤术式选择及颅底重建方法的探讨[J].临床耳鼻咽喉科杂志, 2003, 17 (5):259-260.
[4]	童军.鼻显微手术治疗真菌性鼻窦炎的临床分析[J].山东大学基础医学院学报, 2004, 18 (2):86-87.
[5]	古庆家, 李静娴, 樊建刚, 等.鼻内镜或鼻内镜辅助下鼻腔鼻窦恶性肿瘤切除术的初步分析[J].临床耳鼻咽喉头颈外科杂志, 2013, 27 (23):1287-1290.
[6]	SUZUKI M, SAKURAI H, SENO S, et al.Endoscopic resection of benign and malignant tumors in the nasal cavity and paranasal sinus[J].Nihon Jibiinkoka Gakkai Kaiho, 2005, 108:724-733.
[7]	CASTELNUOVO P, BATTAGLIA P, TURRI-ZANONI M, et al.Endoscopic endonasal surgery for malignancies of the anterior cranial base[J].World Neurosurg, 2014, 82:S22-31.
[8]	WAGENMANN M, SCHIPPER J.The transnasal approach to the skull base.From sinus surgery to skull base surgery[J].GMS Curr Top Otorhinolaryngol Head Neck Surg, 2011, 10:1-18.
[9]	WEBER R K, HOSEMANN W.Comprehensive review on endonasal endoscopic sinus surgery[J].GMS Curr Top Otorhinolaryngol Head Neck Surg, 2015, 14:1-108.
[10]	张秋航.内镜颅底外科的发展[J].中国微侵袭神经外科杂志, 2014, 19 (1):1-4.