功能性鼻窦内镜手术应用CT软件技术在预防手术并发症中的临床意义

Value of using CT software technic to prevent the postoperative syndrome in functional endoscopic sinus surgery

目的探讨功能性鼻窦内窥镜手术(FESS)中应用CT软件技术能否最大限度地减少手术并发症或风险度。方法50例临床诊断为鼻窦疾病的患者,先经螺旋CT扫描,后在工作站上进行三维重建,以筛窦为中心测量5组鼻窦解剖数据供术者在手术中应用,指导手术操作。同时与未采用此项技术的68例FESS患者进行对照,结果进行统计学分析。结果50例采用5组解剖数据指导FESS,手术并发症发生率下降了16.0%;疗效提高了15.0%;住院费用下降了31.0%;术后复发率下降了8.6%。结论应用该项技术指导FESS可降低手术风险,提高治愈率,降低复发率,降低医疗费用,非常适合拥有CT设备而无导航设备的基层医院开展此项工作。

Objective To evaluate the guiding effect of CT software to reduce the postoperative syndrome and surgery risk in patients with sinus disease performed the functional endoscopic sinus surgery （FESS）. Methods Fifty patients of accessory sinus disease were scanned by spinal CT, and then three dimensions reconstruction made is workstation. Under center of ethmoid sinus , the five groups of anatomy data measured were obtained , used to guide surgery and contrasted with result of no used to guide surgery in 68 patients in FESS. The data were performed the statistical management and compared with results of FESS. Results Under guided by five groups of anatomy data measured , the postoperative syndrome was reduced by 16.0 percent; the curative effect went up by 15.0 percent; the pay for hospital was reduced 31.0 percent and the recurrence rate was reduced 8.6 percent. Conclusion Used the technic in FESS, the surgery risk, the recurrence rate and pay for hospital are reduced, but the curative effect go up. The technic is much adapt to be used in village and towns hospital where there aren＇t navigation equipment.