磁导航技术在鼻内镜鼻窦手术中的临床应用

Clinical application of a magnetic navigation system in endoscopic sinus surgery

目的通过分析磁导航鼻内镜鼻窦手术的临床应用,探讨磁导航在鼻内镜鼻窦手术中的应用价值。方法分析2008年2月~2016年2月复旦大学附属华东医院耳鼻咽喉头颈外科接受磁导航鼻内镜鼻窦手术的239例鼻窦疾病患者的临床资料,同期选取鼻内镜鼻窦手术未使用导航的298例鼻窦疾病患者的临床资料作为对照。比较两组患者的手术时间及手术并发症发生率。结果导航组手术时间明显少于非导航组(P<0.001),且导航组眶内血肿发生率及总体并发症发生率均明显低于非导航组(P=0.036和0.002)。结论影像磁导航可显著缩短手术时间,减少手术并发症发生率,提高手术精准性及安全性。导航技术在鼻内镜鼻窦手术中具有较高的应用价值,其常规应用可能会使更多的需要接受内镜鼻窦手术的患者受益。

Objective To evaluate the applicative value of image-guided system （IGS） in endoscopic sinus surgery （ESS）. Methods Clinical data of the patients received ESS in our department with （n = 239, IGS group ） or without （n = 298, NIGS group） assistance of an IGS from Feb 2008 to Feb 2016 were analyzed retrospectively. Their durations of surgery and incidences of complications were recorded and compared. Results The mean duration of surgery of the IGS group was significantly shorter than that of the NIGS group （ P 〈 0. 001 ）. There were significant differences in the incidences of intraorbital hematoma and total complication between the two groups （P =0. 036 and 0. 002, respectively）. Conclusions Application of magnetic navigation system in ESS can significantly shorten duration of surgery, decrease incidence of complication, and therefore improve surgical accuracy and safety. Image-guided system has high applicative value in ESS, and its routine utilization may benefit more patients who need ESS.