经鼻内镜处理眶内及眶壁病变

Management of the intraorbital and orbital wall disease by the intranasal endoscopic approach

目的探讨经鼻内镜治疗眶内及眶壁病变的方法与疗效。方法回顾分析48例眶壁病变的临床资料。观察组23例采用经鼻内镜手术,术中未行眶壁重建。对照组25例采用传统结膜下径路并使用钛网及多孔聚乙烯板植入物(MEDPOR)进行眶壁重建,随访6个月以上,比较两组的疗效。结果两组患者疗效未见明显差异;观察组的手术时间、住院时间及住院费用均优于对照组(P均<0.05)。结论经鼻内镜治疗眶内及眶壁病变疗效良好且具有一定的优点,值得推广。

Objective To investigate the endoscopic operative technique and efficacy for orbital and orbital lesions.Methods The clinical data of 48 cases of orbital lesions were retrospectively analyzed. The observation group of 23 patients was treated by endoscopic surgery without orbital wall reconstruction. The control group consisting of 25 cases was treated by traditional subconjunctival approach using titanium mesh and porous polyethylene sheet implants（ MEDPOR） to perform orbital wall reconstruction. Results During a follow-up period of 6 months,there were no significant differences in efficacy; the hospital stay and hospitalization costs in the observation group were all better than the control group（ P〈0. 05）. Conclusion Endoscopic treatment of orbital and orbital lesions is effective and has certain advantages.