CAJ | 학술논문

目的：通过对影像导航系统引导下鼻内窥镜手术的临床分析，探讨影像导航技术在鼻内镜手术中应用的一些问题。方法回顾性分析21例影像导航系统下鼻内窥镜手术，其中额窦囊肿、额窦炎4例，鼻腔内翻乳头状瘤4例．真菌性鼻窦炎3例，蝶窦炎及囊肿3例，复杂及复发慢性鼻窦炎、鼻息肉7例。结果影像导航术前准备时间（包括配准、头架定位、常规器械注册等）10～18 min，平均12 min。21例手术区域影像标志与实体解剖标志间的误差均＜1mm，平均0．84mm。21例患者手术顺利完成，无手术并发症发生。结论影像导航系统可确认鼻眼及颅底的局部及相邻解剖标志，显示术野邻近的重要结构，减少手术的侵袭性和并发症。提高手术的精确性和安全性。
목적：통과대영상도항계통인도하비내규경수술적림상분석，탐토영상도항기술재비내경수술중응용적일사문제。방법회고성분석21례영상도항계통하비내규경수술，기중액두낭종、액두염4례，비강내번유두상류4례．진균성비두염3례，접두염급낭종3례，복잡급복발만성비두염、비식육7례。결과영상도항술전준비시간（포괄배준、두가정위、상규기계주책등）10～18 min，평균12 min。21례수술구역영상표지여실체해부표지간적오차균＜1mm，평균0．84mm。21례환자수술순리완성，무수술병발증발생。결론영상도항계통가학인비안급로저적국부급상린해부표지，현시술야린근적중요결구，감소수술적침습성화병발증。제고수술적정학성화안전성。
Objective To evaluate the advantages of image-guidance system in endoscopic sinus surgery.Meth-ods 21 endoscopic sinussurgery procedures were performed with the help of image guidance system,including 4 case of cyst of frontalsinus,4 case of inverted pipilloma,3 case of fungal sinusitis,3 cases of disease sphenoidal si-nus,7 cases of chronic sinusitis with or without nasal polyps.Results In all cases,the preoperative took 10-18min, mean 12min,the relativc accuracy was within 1mm,mean 0.84mm,which was between image in operative region and anatomical points on the body.No complication occurred.Conclusion Nasal endoscopy in combination with im-age-guidance systems provides accurate anatomical localization of nasal cavity,sinuses and anterior skull base.It al-so could raise the effectiveness and cut down surgical complications.