CAJ | 학술논문

目的探讨鼻内窥镜在鼻咽纤维血管瘤切除术中的应用效果.方法回顾分析25例患者的临床资料.结果本组患者全部治愈,术中均能彻底切除肿瘤.复查鼻内镜或电子鼻咽镜见鼻咽部术腔黏膜上皮化好,鼻咽颅底CT扫描未见肿瘤复发.无一例患者术后发生感染、出血.术侧鼻腔功能良好,无不适感.结论鼻内镜术式损伤小,并发症少,能在彻底切除肿瘤的同时最大限度的保护正常的勃膜和结构,符合现代医学的微创原则.较传统手术微创、出血少、生理干扰小、不影响颌面部发育,肿瘤切除更彻底;如确实肿瘤出血凶猛,无法控制,可经鼻腔进行快速有效填塞,随时终止手术.
목적 탐토비내규경재비인섬유혈관류절제술중적응용효과.방법 회고분석25례환자적림상자료.결과 본조환자전부치유,술중균능철저절제종류.복사비내경혹전자비인경견비인부술강점막상피화호,비인로저CT소묘미견종류복발.무일례환자술후발생감염、출혈.술측비강공능량호,무불괄감.결론 비내경술식손상소,병발증소,능재철저절제종류적동시최대한도적보호정상적발막화결구,부합현대의학적미창원칙.교전통수술미창、출혈소、생리간우소、불영향합면부발육,종류절제경철저;여학실종류출혈흉맹,무법공제,가경비강진행쾌속유효전새,수시종지수술.
Objective Endoscopy in the resection of nasopharyngeal angiofibroma in the Application.Methods Retrospective analysis of clinical data of 25 patients.Results All patients were cured,surgery could completely remove the tumor.Review of endoscopic or electronic microscopy of nasopharyngeal nasopharyngeal mucosa of good surgical cavity,nasopharynx skull base CT scan found no recurrence.No case of postoperative infection,bleeding.Operated side nasal function well without discomfort.Conclusion The endoscopic surgical damage,fewer complications,can completely remove the tumor while protecting normal maximum Bo membrane and structure,consistent with the principles of minimally invasive modern medicine.Minimally invasive than traditional surgery,less bleeding,physical disturbance is small,does not affect the maxillofacial development,a more complete tunor resection;if indeed tumors bleeding fierce,can not becontrolled,can carry out the fast and effective nasal packing,at any time terminate the operation.