CAJ | 학술논문

目的：探讨鼻内镜手术在非鼻窦炎息肉状病变方面的应用。方法：利用鼻内镜手术治疗脑脊液鼻漏、脑膜脑膨出、蝶筛窦囊肿、异物、霉菌病、垂体瘤、后鼻孔闭锁、内翻性乳头状瘤共70例。结果：69例均一次手术成功。1例脑脊液鼻漏再次手术成功。在6个月～6年的随访中，仅后鼻孔闭锁及蝶窦霉菌各2例在术后曾出现肉芽，经微波治疗后痊愈。结论：鼻内镜能广泛应用于非鼻窦炎息肉状病变的治疗，脑脊液鼻漏、脑膜脑膨出是其最佳适应证；对其它手术也能体现出其进路简便、创伤小、直视下操作、视野清晰、不留颅面部畸形等优点。
목적：탐토비내경수술재비비두염식육상병변방면적응용。방법：이용비내경수술치료뇌척액비루、뇌막뇌팽출、접사두낭종、이물、매균병、수체류、후비공폐쇄、내번성유두상류공70례。결과：69례균일차수술성공。1례뇌척액비루재차수술성공。재6개월～6년적수방중，부후비공폐쇄급접두매균각2례재술후증출현육아，경미파치료후전유。결론：비내경능엄범응용우비비두염식육상병변적치료，뇌척액비루、뇌막뇌팽출시기최가괄응증；대기타수술야능체현출기진로간편、창상소、직시하조작、시야청석、불류로면부기형등우점。
Objective:To evaluate endoscopic surgery of non-sinusitis nasalpolypoid lesions.Methods:Seventy patients with cerebrospinal fluid rhinorrhea,meningoencephalocele,sphenoida and ethmoidal mucoceles,sphenoidal foreign body and fungi,pituitary tumor,choanal atresia,inverted papilloma were treated by endoscopic surgery.Results:One patient with cerebrospinal fluid rhinorrhea underwent reoperation because of recurrence.The other 69 cases were cured by one-stage surgery and had no recurrence developed within 1/2～6 years follow-up.Conclusions:Endoscopic surgery can be applied to all non-sinusitis nasal polypoid lesions.It is the best choice of management for cerebrospinal fluid rhinorrhea and meningoencephalocele.This technique has advantage of clear field of vision,easy approach,fewer complications,mild damage and leaving no malformation.