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本文报导鼻窥镜手术处理的单纯蝶窦病变13例,包括霉菌感染,囊肿,内翻性乳头状瘤,嗜酸细胞肉芽肿.除嗜酸细胞肉芽肿外,余病例均经鼻内窥镜下开放蝶窦,清除相应病变,嗜酸细咆肉芽肿经蝶窦开放病理确诊后,将放射源在内窥镜下导入蝶窦内,增加了局部放疗剂量.所有病例经半年至四年的随访,未见复发.我们认为:鼻内窥镜检查结合CT可较早发现蝶窦病变,在窥镜下进行蝶窦开放术,手术创伤小,视野清晰,鼻腔功能保留好,只要掌握蝶窦的深度,近中线操作,就能避免损伤重要结构,提高手术质量.
This article reports 13 cases of simple sphenoid sinus diseases treated by endoscopic surgery, including mold infection, cyst, inverted papilloma and eosinophilic granuloma. Except eosinophilic granuloma, Under the open sphenoid sinus, remove the corresponding lesion, eosinophilic granuloma transurethral open pathological diagnosis, the radioactive source into the sphenoid sinus under endoscopy, an increase of local radiotherapy dose.All cases after six months to four years Follow-up, no recurrence.We think: nasal endoscopy combined with CT can be found earlier sphenoid sinus disease, open sphenoid sinus under endoscopy, trauma, clear vision, nasal function retained, as long as the sphenoid sinus Depth, near midline operation, you can avoid damage to the important structure, improve the quality of surgery.