CAJ | 학술논문

目的探讨计算机辅助电磁影像导航系统在鼻内镜手术中的应用价值.方法回顾性分析22例患者,其中鼻窦炎、鼻息肉16例,内翻性乳头状瘤5例,上颌窦毛细血管瘤1例.所有病例均采用计算机辅助电磁影像导航系统及鼻内镜实施手术.结果影像导航术前准备时间最长10min,最短4 min.22例患者术中实体解剖标志与手术区域影像标志间的误差≤1 mm,影像导航可准确定位视神经管等解剖标志,无手术并发症发生.结论计算机辅助电磁影像导航系统与鼻内镜能很好地结合,辅助指导医师在术中定位鼻腔、鼻窦及前颅底等解剖标志,保护术野及其周围的重要结构.特别是在复杂的手术中,可提高手术的精确性和安全性,减少术中及术后并发症.
목적 탐토계산궤보조전자영상도항계통재비내경수술중적응용개치.방법 회고성분석22례환자,기중비두염、비식육16례,내번성유두상류5례,상합두모세혈관류1례.소유병례균채용계산궤보조전자영상도항계통급비내경실시수술.결과 영상도항술전준비시간최장10min,최단4 min.22례환자술중실체해부표지여수술구역영상표지간적오차≤1 mm,영상도항가준학정위시신경관등해부표지,무수술병발증발생.결론 계산궤보조전자영상도항계통여비내경능흔호지결합,보조지도의사재술중정위비강、비두급전로저등해부표지,보호술야급기주위적중요결구.특별시재복잡적수술중,가제고수술적정학성화안전성,감소술중급술후병발증.
Objective To evaluate the clinical application of computer-aided electromagnetic imaging navigation in nasal endoscopic surgery.Methods Twenty-two cases of nasal endoscopic surgery with intraoperative imaging navigation were retrospectively reviewed,including 16 cases of sinusitis with or without polyp;5 cases of nasal inverting papilloma; 1 case of maxillary capillary hemangioma.All cases were operated with computer-aided electromagentic imaging navigation and nasal endoscope.Results The preoperative preparing time would take 4-10 minutes.In 22 cases,the localization accuracy between 3-D image landmarks of navigation system and actual anatomical landmarks was less than 1 mm.The optic nerve and other anatomical landmarks could be orientated accurately in intraoperative procedures.No complication occurred.Conclusions Nasal endoscope combined with computer-aided electromagnetic imaging navigation provides accurate anatomical localization of nasal cavity,sinuses and anterior skull base.It could improve the effectiveness and decrease surgical complications,especially in complicated cases.