中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2014年
31期
2438-2440
,共3页
康军%傅继弟%周军%刘浩成%董浩%孙思%杨澎%吴江平%邱锷%宋维贤
康軍%傅繼弟%週軍%劉浩成%董浩%孫思%楊澎%吳江平%邱鍔%宋維賢
강군%부계제%주군%류호성%동호%손사%양팽%오강평%구악%송유현
内镜%颅底外科%异物伤
內鏡%顱底外科%異物傷
내경%로저외과%이물상
Endoscope%Skull base surgery%Foreign body injuries
目的：探讨内镜下经鼻颅底入路取出眶颅底区异物的可行性和方法。方法回顾性分析北京同仁医院神经外科2009年1月至2014年1月8例眶颅底区异物伤的病例。其中金属异物4例，植物性异物4例。位于眼眶内6例，鼻眶沟通性异物2例，术前视力丧失6例，视力下降2例，眼球活动障碍5例。全部病例采用内镜下经鼻入路进入眼眶内或眶颅底区取出异物。结果8例异物均完整取出，随访3个月至4年，术前视力丧失病例术后视力无恢复，视力下降2例病人术后3个月均恢复正常视力。眼球活动障碍完全恢复4例，部分恢复1例。结论眶颅底区异物伤病例可根据异物位置选择经鼻内镜取出异物，具有微创，无手术瘢痕的优点。
目的：探討內鏡下經鼻顱底入路取齣眶顱底區異物的可行性和方法。方法迴顧性分析北京同仁醫院神經外科2009年1月至2014年1月8例眶顱底區異物傷的病例。其中金屬異物4例，植物性異物4例。位于眼眶內6例，鼻眶溝通性異物2例，術前視力喪失6例，視力下降2例，眼毬活動障礙5例。全部病例採用內鏡下經鼻入路進入眼眶內或眶顱底區取齣異物。結果8例異物均完整取齣，隨訪3箇月至4年，術前視力喪失病例術後視力無恢複，視力下降2例病人術後3箇月均恢複正常視力。眼毬活動障礙完全恢複4例，部分恢複1例。結論眶顱底區異物傷病例可根據異物位置選擇經鼻內鏡取齣異物，具有微創，無手術瘢痕的優點。
목적：탐토내경하경비로저입로취출광로저구이물적가행성화방법。방법회고성분석북경동인의원신경외과2009년1월지2014년1월8례광로저구이물상적병례。기중금속이물4례，식물성이물4례。위우안광내6례，비광구통성이물2례，술전시력상실6례，시력하강2례，안구활동장애5례。전부병례채용내경하경비입로진입안광내혹광로저구취출이물。결과8례이물균완정취출，수방3개월지4년，술전시력상실병례술후시력무회복，시력하강2례병인술후3개월균회복정상시력。안구활동장애완전회복4례，부분회복1례。결론광로저구이물상병례가근거이물위치선택경비내경취출이물，구유미창，무수술반흔적우점。
Objective To explore the feasibility and methods of transnasal endoscope for removing foreign bodies at orbital-skull base.Methods Retrospective analyses were performed for 8 cases of foreign body injuries at orbital-skull base at our department from January 2009 to January 2014.The foreign bodies were metallic (n=4) and wooden (n=4).Six cases were only within orbit while the remainder had nasal-orbital foreign bodies.The symptoms included preoperative visual loss (n=6), visual deterioration (n=2) and eye movement disorder (n=5).All underwent transnasal endoscopic removal.Results Foreign bodies were totally removed.During a follow-up period of 3 months to 4 years, there was no recovery of preoperative visual loss ( n=6 ).Two patients with reduced vision recovered to normal after 3 months.Eye movement disorder fully recovered in 4 cases and 1 case of eye movement disorder had partial recovery.Conclusion Endoscopic removal of foreign body at orbital-skull base has the advantage of mini-invasiveness and non-facial surgical scar.
