CAJ | 학술논문

目的：探讨鼻内镜手术治疗伴视力减退的蝶筛窦囊肿的疗效。方法2006年1月～2013年6月对11例蝶筛窦囊肿行鼻内镜下鼻腔鼻窦探查，鼻窦开放术，清除窦腔内囊肿，术后常规使用激素并定期随访。结果手术时间50～90 min，平均65 min；出血量50～100 ml，平均60 ml。11例术后病理：黏液囊肿。术后随访6～12个月，头痛、鼻根部疼痛基本消失。视力恢复情况：2例由术前眼前指数分别提高到0．3、0．5，其余9例恢复到发病前水平。结论鼻内镜手术治疗伴有视力减退的鼻窦囊肿疗效满意，及时手术是恢复视力的关键。
목적：탐토비내경수술치료반시력감퇴적접사두낭종적료효。방법2006년1월～2013년6월대11례접사두낭종행비내경하비강비두탐사，비두개방술，청제두강내낭종，술후상규사용격소병정기수방。결과수술시간50～90 min，평균65 min；출혈량50～100 ml，평균60 ml。11례술후병리：점액낭종。술후수방6～12개월，두통、비근부동통기본소실。시력회복정황：2례유술전안전지수분별제고도0．3、0．5，기여9례회복도발병전수평。결론비내경수술치료반유시력감퇴적비두낭종료효만의，급시수술시회복시력적관건。
Objective To explore the clinical efficacy of sphenoidal and ethmoidal cysts with visual loss by nasal endoscopic surgery. Methods Eleven cases (11 eyes) of sphenoidal and ethmoidal cysts with visual impairment were reviewed retrospectively. The patients received endoscopic surgery to remove cysts. Steroid therapy was given postoperatively and routine examinations with endoscopy were carried out during the follow-up. Results The operation time was 50 -90 min ( mean, 65 min ) , and the intraoperative blood loss was 50-100 ml (mean, 60 ml).Postoperative pathological examinations showed mucous cysts. Follow-up observations for 6-12 months in the 11 cases found the majority of symptoms , such as pain in nose and headache , disappeared. The postoperative visual acuity outcomes were improved from fingers counting to 0.3 and 0.5 in 2 eyes, respectively, and recovered to premorbid level in 9 eyes. Conclusions Endoscopic surgery is effective to sphenoidal and ethmoidal cysts with visual loss. Prompt surgical intervention is crucial to visual recovery.