摘要
目的 探讨和评价经鼻内窥镜鼻窦粘液囊肿手术 .方法 回顾性总结经鼻内窥镜“造袋术”治疗鼻窦粘液囊肿2 1例 .结果 15例额筛窦及筛窦粘液囊肿中眶纸样板破坏伴眼球突出、复视 12例 (80 .0 % ) ,术后 2 wk症状渐消失 . 2 1例中 2例 (9.5 % )分别于术后 2 mo,2 .5 mo出现开口封闭 ,予鼻内窥镜下重新开放 .术后随访平均 7.5 (6～ 12 ) mo. 2 1例术腔上皮化 ,开放引流良好 ,无复发 ,无手术并发症 .结论 经鼻内窥镜治疗鼻窦粘液囊肿可避免切口疤痕、损伤小、复发率低 。
AIM To investigate and to evaluate the effect of endoscopic endonasal surgery for paranasal sinus mucocele. METHODS Twenty one mucoceles in fronto ethmoidal, ethmoidal, sphenoidal and maxillary sinus treated by endoscopic marsupialization were studied retrospectively. RESULTS Twelve cases (80%) of fronto ethmoidal and ethmoidal mucoceles with erosion of lamina papyracea accompanied by exophthalmia and diplopia recovered 2 weeks after operation. In 2 cases the opening of cavity became closed 2 months and 2.5 months after operation and were re opened endoscopically respectively. No recurrences were found in the twenty one patients with a follow up of 6 12 months. No complications ocaurred,either. CONCLUSION Endoscopic marsupialization is an effective approach to the operation for paranasal sinus mucoceles.
出处
《第四军医大学学报》
2000年第6期S134-S136,共3页
Journal of the Fourth Military Medical University
