电磁导航下鼻窦骨化性纤维瘤切除术临床分析暨文献复习
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摘要
目的探讨电磁导航引导鼻内镜下鼻窦骨化性纤维瘤切除术在临床中的应用。方法总结1例鼻窦骨化性纤维瘤患者在FUSIONTM电磁导航系统下及鼻内镜下实施手术的临床经验及病例资料。结果该患者手术在2 h内顺利完成,完整切除肿瘤,无手术并发症,术后随访无复发。结论电磁导航下实施鼻窦骨化性纤维瘤切除术,能在术前评价手术风险,对确保手术的精准性、安全性都起到了非常重要的辅助作用,并且缩短了手术时间,减少了手术并发症,应用前景较广。
Objective To explore the clinical application of nasal endoscopic sinus ossification fibroma resection under the guidance of electromagnetic navigation. Method 1 case of ossifying fibroma of the sinus had undergone the complete resection with nasal endoscopic surgery under the guidance of the FUSION[TM]electromagnetic navigation system. Results The operation was completed successfully in 2 hours and the tumor was resected completely. There were no intra-and post-operative complications,nor recurrence was found during the follow-up. Conclusions Electromagnetically guided resection of ossifying fibroma of paranasal sinuses plays an important role in evaluating the risk of surgery before operation,ensuring the accuracy and safety of the resection,shortening operative time and reducing the complication rates. The application prospect is broad.
Objective To explore the clinical application of nasal endoscopic sinus ossification fibroma resection under the guidance of electromagnetic navigation. Method 1 case of ossifying fibroma of the sinus had undergone the complete resection with nasal endoscopic surgery under the guidance of the FUSION[TM]electromagnetic navigation system. Results The operation was completed successfully in 2 hours and the tumor was resected completely. There were no intra-and post-operative complications,nor recurrence was found during the follow-up. Conclusions Electromagnetically guided resection of ossifying fibroma of paranasal sinuses plays an important role in evaluating the risk of surgery before operation,ensuring the accuracy and safety of the resection,shortening operative time and reducing the complication rates. The application prospect is broad.
引文
[1]聂波,杨小玲.青少年上颌骨骨化性纤维瘤临床病理特征分析[J].实用癌症杂志,2015,30(7):1053-1055.
[2]Alghonaim Y,ALRashed ALHumaid S,Arafat A.Aggressive ossifying fibroma of right ethmoidal sinus:A case report[J].Int J Surg Case Rep,2017,pii:S2210-2612(17):30678-30678.doi:10.1016/j.ijscr.2017.12.026.
[3]黄冠江,罗梦思,张靖萱,朱财明,刘红兵.鼻内镜双径路切除上颌窦骨化性纤维瘤囊性变1例[J].临床耳鼻咽喉头颈外科杂志,2017,31(8):641-642.
[4]第四届全国耳鼻咽喉科医师大会美敦力卫星会纪要[J].中国医学文摘(耳鼻咽喉科学),2014,29(6):372.
[5]蔡菁菁.第三届全国耳鼻咽喉科医师大会美敦力卫星会纪要[J].中国医学文摘(耳鼻咽喉科学),2012,27(6):326.
[6]段炼,范勇,唐强.电磁导航引导下鼻腔鼻窦良性肿瘤切除术[J].中国耳鼻咽喉头颈外科,2007(2):121.
[7]Liu JJ,Thompson LD,Janisiewicz AM,et al.Ossifying fibroma of the maxilla and sinonasal tract:Case series[J].Allergy Rhinol(Providence),2017,8(1):32-36.doi:10.2500/ar.2017.8.0190.
[8]Su L,Weathers DR,Waldron CA.Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas.II.A clinical and radiologic spectrum of 316 cases[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,1997,84(5):540-549.
[9]邝海,杨亦萍,邝国乾.颅面骨纤维异常增殖症与骨化纤维瘤鉴别的研究进展[J].广西医学,2009,31(10):1537-1538.
[10]王刚,陈雷.电磁影像导航在内镜鼻窦、颅底手术中的应用[J].山东大学耳鼻喉眼学报,2007(02):97-99,106,193.
[11]邸斌,吴彦桥,李军,李晓明.影像导航技术在鼻及颅底和鼻眼相关疾病内镜手术中的应用[J].山东大学耳鼻喉眼学报,2017,31(2):25-30.
[12]周兵.影像导航技术与鼻颅底外科[J].中国医学文摘(耳鼻咽喉科学),2014,29(4):185-188.
[13]导航技术在鼻科手术中的应用专家研讨会[J].中国医学文摘(耳鼻咽喉科学),2014,29(4):241.
[2]Alghonaim Y,ALRashed ALHumaid S,Arafat A.Aggressive ossifying fibroma of right ethmoidal sinus:A case report[J].Int J Surg Case Rep,2017,pii:S2210-2612(17):30678-30678.doi:10.1016/j.ijscr.2017.12.026.
[3]黄冠江,罗梦思,张靖萱,朱财明,刘红兵.鼻内镜双径路切除上颌窦骨化性纤维瘤囊性变1例[J].临床耳鼻咽喉头颈外科杂志,2017,31(8):641-642.
[4]第四届全国耳鼻咽喉科医师大会美敦力卫星会纪要[J].中国医学文摘(耳鼻咽喉科学),2014,29(6):372.
[5]蔡菁菁.第三届全国耳鼻咽喉科医师大会美敦力卫星会纪要[J].中国医学文摘(耳鼻咽喉科学),2012,27(6):326.
[6]段炼,范勇,唐强.电磁导航引导下鼻腔鼻窦良性肿瘤切除术[J].中国耳鼻咽喉头颈外科,2007(2):121.
[7]Liu JJ,Thompson LD,Janisiewicz AM,et al.Ossifying fibroma of the maxilla and sinonasal tract:Case series[J].Allergy Rhinol(Providence),2017,8(1):32-36.doi:10.2500/ar.2017.8.0190.
[8]Su L,Weathers DR,Waldron CA.Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas.II.A clinical and radiologic spectrum of 316 cases[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,1997,84(5):540-549.
[9]邝海,杨亦萍,邝国乾.颅面骨纤维异常增殖症与骨化纤维瘤鉴别的研究进展[J].广西医学,2009,31(10):1537-1538.
[10]王刚,陈雷.电磁影像导航在内镜鼻窦、颅底手术中的应用[J].山东大学耳鼻喉眼学报,2007(02):97-99,106,193.
[11]邸斌,吴彦桥,李军,李晓明.影像导航技术在鼻及颅底和鼻眼相关疾病内镜手术中的应用[J].山东大学耳鼻喉眼学报,2017,31(2):25-30.
[12]周兵.影像导航技术与鼻颅底外科[J].中国医学文摘(耳鼻咽喉科学),2014,29(4):185-188.
[13]导航技术在鼻科手术中的应用专家研讨会[J].中国医学文摘(耳鼻咽喉科学),2014,29(4):241.