论文部分内容阅读
目的:探讨经鼻内镜行前颅底手术的可行性及适应证范围。方法:收集并分析我科近年来在鼻内镜下治疗的前颅底疾病6例,包括脑膜脑膨出3例,脑脊液鼻漏2例,左球后肿瘤1例。6例均在全身麻醉下手术。结果:6例手术均一次性成功,无并发症出现。结论:在鼻内镜下行部分鼻前颅底手术具有创伤小、术后恢复快、并发症少等优点,但手术适应证应该严格掌握,术者必须具备熟练的解剖学知识、手术技巧和经验,必须配备先进的手术设备。
Objective: To investigate the feasibility and indications of transnasal endoscopic skull base surgery. Methods: Six cases of anterior skull base diseases under endoscopic sinus surgery in recent years were collected and analyzed, including 3 cases of meningoencephalocele, 2 cases of cerebrospinal fluid rhinorrhea and 1 case of left posterior. 6 cases were under general anesthesia surgery. Results: All the 6 surgeries were successful in one time without complication. CONCLUSIONS: Partial nasal skull base surgery under nasal endoscopy has the advantages of less trauma, faster recovery and fewer complications. However, surgical indications should be strictly controlled. The surgeon must have good knowledge of anatomy, surgical skills and experience , Must be equipped with advanced surgical equipment.