鼻内镜下蝶窦手术21例

Endoscopic transnasal approach in surgical treatment of ethmoid sphenoid diseases

目的 :探讨鼻内镜下治疗蝶窦良性病变的疗效和手术体会。方法 :2 1例患者在鼻内镜下进行鼻腔 蝶窦手术 ,其中全身麻醉 2例 ,局部麻醉辅以强化麻醉 19例。结果 :随访 3个月～ 4年。 2 0例痊愈 ,1例出现窦口闭锁 ,行再次手术开放 ,无一例出现严重并发症。结论 :局部麻醉鼻内镜下蝶窦手术具有视野清楚、损伤小、出血少、痛苦小等优点 ,是一种安全。

Objective:To study the surgical experience of endoscopic sinus surgery for the patients with sphenoid sinus disease.Method:Twenty-one patients of sphenoid sinus diseases were treated with endoscopy by nasal cavity and sphenoid sinus.Result:During 3 months to four years following up, 20 patients were free from disease postoperatively, 1 patient underwent reoperation because of recurrence.Conclusion:Nasal endoscope provide the clear visal field, and operation under nasal endoscope could less pain and minimize injury to nomal tissue.Transnasal-sphenoidal endoscopic sinus surgery under local anesthesia seems to be a safe and valuable way.