磁导航下内镜鼻颅底微创手术103例临床分析

黄昱; 赵仁伍; 章如新; 喻红之; 司徒慧如; 柳春晖; 王虹; 周玲玲; 庄文杰; 金铸成; 庞智慧

doi:10.13201/j.issn.1001-1781.2018.24.003

磁导航下内镜鼻颅底微创手术103例临床分析

- 复旦大学附属华东医院耳鼻咽喉头颈外科(上海, 200040)

详细信息

通讯作者: 章如新, E-mail:zhangruxin@hotmail.com

中图分类号: R765.9

收稿日期: 2018-10-12

Application of image-guided system in endoscopic sinus and skull base surgery

- Department of Otorhinolaryngology Head and Neck Surgery, Huadong Hospital, Fudan University, Shanghai, 200040, China

More Information

Corresponding author: ZHANG Ruxin, E-mail: zhangruxin@hotmail.com

Received Date: 12 October 2018

摘要

摘要: 目的: 探讨磁导航在内镜鼻颅底外科手术中的应用价值。方法: 回顾分析接受磁导航鼻内镜鼻颅底手术患者103例,其中鼻腔鼻窦良恶性病变累及颅底和/或眶内病变切除术92例、脑脊液鼻漏修补术6例、垂体瘤切除术3例、创伤性视神经病视神经减压术2例,均应用磁导航技术行鼻内镜手术。结果: 所有患者手术过程顺利,无术中及术后并发症。结论: 磁导航技术可在术中精确定位鼻窦、颅底及相邻的重要解剖标志,提高手术的精准度及安全性,避免了手术并发症的发生。尤其在鼻窦病变累及颅底和/或眶内及鼻窦解剖变异时,影像磁导航系统可有效避免损伤眶纸板、内直肌、眶内组织、视神经及颈内动脉等重要解剖结构,为鼻颅底手术提供了重要的手术安全技术平台,值得临床推广应用。
- 影像导航 /
- 磁导航 /
- 鼻内镜手术 /
- 鼻颅底
Abstract: Objective: To evaluate the applicative value of image-guided system in endoscopic sinus and skull base surgeries. Method: A total of 103 endoscopic surgical procedures were performed.All these procedures were conducted with the utilization of image-guided system, among which there were 92 cases of sinonasal-skull base surgery(including nasal sinuses resection of benign and malignant tumors involving skull base lesions, the cumulative orbital lesion resection of nasal sinus lesions, etc.), 6 repair of cerebrospinal fluid leak, 3 pituitary adenoma resection, 2 traumatic neuropathy optic nerve decompression. Result: With the utilization of image-guided system, all patients had successful surgery without major and minor complications. The image-guided system provided high precision with short registration time.Conclusion: Image-guided system can help the surgeon to identify accurately the vital anatomic landmarks of sinus and skull base, improving surgical accuracy and safety as well as reducing or avoiding the intraoperative and postoperative complications.
- image-guided /
- electromagnetic navigation /
- endoscopic surgery /
- skull base

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