泪前隐窝入路鼻腔鼻窦肿物切除术的临床体会
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摘要
目的探讨经泪前隐窝入路鼻腔鼻窦肿物切除术的应用效果及临床体会。方法回顾性分析9例采取泪前隐窝入路切除复杂上颌窦病变患者的临床资料,包括6例复发性内翻性乳头状瘤者和3例上颌窦后鼻孔息肉者,探讨经泪前隐窝入路清除上颌窦病变的治疗效果及临床体会。结果所有患者均顺利完成手术,术中、术后均无严重并发症发生,术后愈合良好,随访6~24个月后未见复发。结论经泪前隐窝入路鼻腔鼻窦肿物切除术是一种安全、有效的手术方式,值得临床推广应用。
Objective To explore the application effect and clinical experience of resection of nasal cavity and sinus tumor via anterior lacrimal recess approach. Methods The clinical data of 9 patients with complex maxillary sinus lesions treated by resection via anterior lacrimal recess approach were retrospectively analyzed, including 6 patients with recurrent inverted papilloma and 3 patients with retro-nasal polyps of maxillary sinus. The application effect and clinical experience of resection of maxillary sinus lesions via anterior lacrimal recess approach were discussed. Results All patients successfully completed the operation. No serious complications occurred during and after operation, and the healing was good. No recurrence was found after 6-24 months of follow-up. Conclusion The resection of nasal cavity and sinus tumor via anterior lacrimal recess approach is a safe and effective surgical method, which is worthy of clinical promotion and application.
Objective To explore the application effect and clinical experience of resection of nasal cavity and sinus tumor via anterior lacrimal recess approach. Methods The clinical data of 9 patients with complex maxillary sinus lesions treated by resection via anterior lacrimal recess approach were retrospectively analyzed, including 6 patients with recurrent inverted papilloma and 3 patients with retro-nasal polyps of maxillary sinus. The application effect and clinical experience of resection of maxillary sinus lesions via anterior lacrimal recess approach were discussed. Results All patients successfully completed the operation. No serious complications occurred during and after operation, and the healing was good. No recurrence was found after 6-24 months of follow-up. Conclusion The resection of nasal cavity and sinus tumor via anterior lacrimal recess approach is a safe and effective surgical method, which is worthy of clinical promotion and application.
引文
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[15]曾楠,杨灿林,张艳,等.鼻内镜下泪前隐窝入路手术治疗上颌窦良性病变的效果分析[J].中国临床研究,2014,27(3):335-336.
[16]刘澍,薛少飞,赵玉琴,等.鼻内镜下泪前隐窝入路治疗上颌窦良性病变[J].中国耳鼻咽喉颅底外科杂志,2012,18(5):370-373.
[17]安伟,王世飞,邓建华.鼻内镜下鼻腔-鼻窦内翻性乳头状瘤切除术[J].广东医学,2006,44(8):1217-1218.
[2]周兵,韩德民,崔顺九,等.鼻内镜下上颌窦手术[J].中国医学文摘:耳鼻咽喉科学,2007,22(4):193-195.
[3]王明婕,周兵,李云川,等.改良泪前隐窝入路处理上颌窦良性病变的临床研究[J].临床耳鼻咽喉头颈外科杂志,2018,32(24):1847-1850.
[4]周兵,韩德民,崔顺九,等.鼻内镜下鼻腔外侧壁切开上颌窦手术[J].中华耳鼻咽喉头颈外科杂志,2007,42(10):743-748.
[5]徐春来,邹恒英.鼻内窥镜下中鼻道联合泪前隐窝入路治疗上颌窦良性病变的疗效观察[J].中国医学创新,2018,15(14):16-19.
[6]王广科,史凌改,马崧,等.鼻内镜下泪前隐窝入路手术治疗复发性上颌窦内翻性乳头状瘤疗效观察[J].中国耳鼻咽喉头颈外科,2012,19(5):225-227.
[7] BAO S,NI S,ZHANG J,et al.Treatment of lesions involving both the infratemporal fossa and middle skull base[J].Surg Neurol,2006,66(1):10-17.
[8]杨春伟,王林,刘吉祥,等.内镜下经鼻泪前隐窝入路切除上颌窦及翼腭窝肿瘤[J].中国中西医结合耳鼻咽喉科杂志,2018,26(5):359-362.
[9]周兵,黄谦,崔顺九,等.内镜下经鼻泪前隐窝入路切除翼腭窝及颞下窝神经鞘瘤[J].中华耳鼻咽喉头颈外科杂志,2013,48(10):802-806.
[10]覃大洋,李蓓.鼻内镜下泪前隐窝径路治疗上颌窦良性病变[J].中国继续医学教育,2018,10(17):92-93.
[11]薄涛,徐丽阳,越涛,等.鼻内镜下泪前隐窝入路上颌窦手术治疗内翻性乳头状瘤11例疗效观察[J].包头医学,2013,37(3):144-145.
[12]李郁明,李湘.鼻内镜下经泪前隐窝入路手术治疗上颌窦良性病变58例报告[J].中国实用医药,2014,9(12):88-89.
[13]刘英,颜永毅,季青,等.鼻内镜下泪前隐窝入路清除上颌窦内病变的观察[J].中国内镜杂志,2016,22(4):86-89.
[14]马亮,孙中武.鼻内镜下泪前隐窝入路翼腭窝肿瘤切除的研究[J].医学研究杂志,2018,47(3):130-133.
[15]曾楠,杨灿林,张艳,等.鼻内镜下泪前隐窝入路手术治疗上颌窦良性病变的效果分析[J].中国临床研究,2014,27(3):335-336.
[16]刘澍,薛少飞,赵玉琴,等.鼻内镜下泪前隐窝入路治疗上颌窦良性病变[J].中国耳鼻咽喉颅底外科杂志,2012,18(5):370-373.
[17]安伟,王世飞,邓建华.鼻内镜下鼻腔-鼻窦内翻性乳头状瘤切除术[J].广东医学,2006,44(8):1217-1218.