摘要
目的:通过对影像导航系统引导下鼻内窥镜手术的临床分析,探讨影像导航技术在鼻内镜手术中应用的一些问题。方法回顾性分析21例影像导航系统下鼻内窥镜手术,其中额窦囊肿、额窦炎4例,鼻腔内翻乳头状瘤4例.真菌性鼻窦炎3例,蝶窦炎及囊肿3例,复杂及复发慢性鼻窦炎、鼻息肉7例。结果影像导航术前准备时间(包括配准、头架定位、常规器械注册等)10-18 min,平均12 min。21例手术区域影像标志与实体解剖标志间的误差均<1mm,平均0.84mm。21例患者手术顺利完成,无手术并发症发生。结论影像导航系统可确认鼻眼及颅底的局部及相邻解剖标志,显示术野邻近的重要结构,减少手术的侵袭性和并发症。提高手术的精确性和安全性。
Objective To evaluate the advantages of image-guidance system in endoscopic sinus surgery.Meth-ods 21 endoscopic sinussurgery procedures were performed with the help of image guidance system,including 4 case of cyst of frontalsinus,4 case of inverted pipilloma,3 case of fungal sinusitis,3 cases of disease sphenoidal si-nus,7 cases of chronic sinusitis with or without nasal polyps.Results In all cases,the preoperative took 10-18min, mean 12min,the relativc accuracy was within 1mm,mean 0.84mm,which was between image in operative region and anatomical points on the body.No complication occurred.Conclusion Nasal endoscopy in combination with im-age-guidance systems provides accurate anatomical localization of nasal cavity,sinuses and anterior skull base.It al-so could raise the effectiveness and cut down surgical complications.
出处
《济宁医学院学报》
2015年第5期331-332,共2页
Journal of Jining Medical University
关键词
影像导航系统
鼻窦
内窥镜手术
Image guided navigation system
Sinus
Endoscopy