摘要
目的：探讨鼻颅底和鼻窦胆固醇肉芽肿的诊断与治疗方法。方法：回顾性总结分析10例鼻颅底和鼻窦胆固醇肉芽肿患者的临床资料。病变位于鼻颅底5例,位于上颌窦及上颌骨5例。CT显示不同程度的骨质破坏。所有患者均因保守治疗无效而采取手术治疗,其中8例为鼻内镜手术,1例行额窦开窗联合鼻内镜手术,1例行唇龈沟切口联合鼻内镜手术。结果：手术效果良好,术后无并发症,随访8~40个月无复发。结论：鼻颅底和鼻窦胆固醇肉芽肿是鼻内镜手术的理想适应证,其中少部分患者适合使用鼻内镜在辅助切口下完成手术。
Objective： To investigate the diagnosis method and treatment of cholesterol granuloma of the nasal- skull base and the paranasal sinuses. Method： Ten cases were retrospectively analyzed. All the cases were verified by surgery and pathology. Five cases were nasal-skull base lesions, 5 cases were paranasal sinuses lesions. The main manifestation on CT scan was bony destruction. In all the cases, conservative treatments were ineffective. Eight patients underwent transnasal endoscopic surgery, 2 patients underwent transnasal endoscopic surgery plus accessorial incision due to the extensive lesion. Result：Good results were obtained in all 10 cases without operative complications. The duration of follow-up after surgery was 8 to 40 months. No recurrence was identified during the follow-up. Conclusion：Cholesterol granuloma of the nasal-skull base and the paranasal sinuses was the opera- tive indication of transnasal endoscopic surgery in most of the cases. In some cases of extensive lesions, accessorial incision should he made in surgery.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第20期1799-1803,共5页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻颅底
鼻窦
胆固醇肉芽肿
内镜外科手术
nasal-skull base
paranasal sinus
cholesterol granuloma
endoscopic surgical procedures
