中国医科大学学报

中国医科大学学报
  • 中文核心期刊
  • 中国科技核心期刊
  • 中国高校百佳科技期刊
  • BA、CA收录

中国医科大学学报 ›› 2018, Vol. 47 ›› Issue (2): 141-144.doi: 10.12007/j.issn.0258-4646.2018.02.011

• 论著 • 上一篇    下一篇

鼻内镜联合影像导航系统在脑脊液鼻漏修补术中的应用

王佳说1, 阎艾慧1, 闫晓莹2   

  1. 1. 中国医科大学附属第一医院耳鼻咽喉科, 沈阳 110001;
    2. 大连医科大学附属第二医院全科医学科, 辽宁 大连 116044
  • 收稿日期:2017-07-14 出版日期:2018-02-28 发布日期:2018-01-11
  • 通讯作者: 阎艾慧 E-mail:yah567@sina.com
  • 作者简介:王佳说(1992-),女,硕士研究生.
  • 基金资助:
    辽宁省科学技术计划(2009225051-2)

Application of Transnasal Endoscopic Combined Image-guided System in Repair of Cerebrospinal Fluid Rhinorrhea

WANG Jiashuo1, YAN Aihui1, YAN Xiaoying2   

  1. 1. Department of Otorhinolaryngology, The First Hospital, China Medical University, Shenyang 110001, China;
    2. Department of General Practice, The Second Hospital, Dalian Medical University, Dalian 116044, China
  • Received:2017-07-14 Online:2018-02-28 Published:2018-01-11

摘要: 目的 探讨影像导航技术在鼻内镜下脑脊液鼻漏修补术中的临床应用价值。方法 回顾性分析2014年3月至2017年6月于中国医科大学附属第一医院耳鼻咽喉科入院接受影像导航鼻内镜下修补术的10例12侧脑脊液鼻漏患者的临床资料,并讨论脑脊液鼻漏的诊断、术前及术中漏口定位、修补效果、并发症等评估指标。结果 经导航鼻内镜下脑脊液鼻漏修补术均顺利、准确找到漏口并一次治愈,无并发症发生,术后随访0.5~40个月,无复发病例。结论 影像导航技术对在鼻内镜脑脊液鼻漏修补术中准确定位漏口具有应用价值。

关键词: 影像导航技术, 鼻内镜, 脑脊液鼻漏修补术

Abstract: Objective To discuss the clinical value of image navigation technique in nasal endoscopic repair of cerebrospinal fluid rhinorrhea.Methods Retrospectively analyse the clinical data of 10 cases with cerebrospinal fluid rhinorrhea who underwent nasal endoscopic repair who were admitted to hospital from March 2014 to June 2017 and discussing the diagnosis of cerebrospinal fluid rhinorrhea,preoperative and intraoperative leakage location,repair effect,complications and other indicators.Results All cases were cured by one treatment under imaging-guided transnasal endoscopic repair without any complication and recurrence during the 0.5 to 40 months of follow-up visits.Conclusion Image-guided system application is essential in the endoscopic repairment of cerebrospinal fluid rhinorrhea by exactly locating the rhinorrhea.

Key words: image-guided system, transnasal endoscope, cerebrospinal fluid rhinorrhea

中图分类号: 

  • R762
[1] PSALTIS AJ,SCHLOSSER RJ,BANKS CA,et al. A systematic review of the endoscopic repair of cerebrospinal fluid leaks[J]. Otolaryngol Head Neck Surg,2012,147(2):196-203. DOI:10.1177/0194599812451090.
[2] LE C,STRONG EB,LUU Q. Management of anterior skull base cerebrospinal fluid leaks[J]. J Neurol Surg B Skull Base,2016,77(5):404-411. DOI:10.1055/s-0036-1584229.
[3] 韩德民,周兵. 鼻内镜外科学[M]. 北京:人民卫生出版社,2001:393-395.
[4] 韩德民,周兵,葛文彤,等.影像导航系统在鼻内窥镜手术中的应用[J]. 中华耳鼻咽喉科杂志,2001, (2):126-128.
[5] 叶栋,沈志森,沈毅,等. 鼻内镜下脑脊液鼻漏成功修补关键因素分析[J]. 现代实用医学,2016,28(4):528-529.
[6] MIRZA S,THAPER A,MCCLELLAND L,et al. Sinonasal cerebrospinal fluid leaks:management of 97 patients over 10 years[J]. Laryngoscope,2005,115(10):1774-1777.
[7] SALEH H,AI BAHKALY S. Image-guided endoscopic repair of cerebrospinal fluid rhinorrhea by the bath plug grafting technique[J]. Laryngoscope,2011,121(5):909-913. DOI:10.1002/lary.21355.
[8] ILLING EA,WOODWORTH BA. Management of frontal sinus cerebrospinal fluid leaks and encephaloceles[J]. Otolaryngol Clin North Am,2016,49(4):1035. DOI:10.1016/j.otc.2016.03.025.
[9] CITARDI MJ,AGBETOBA A,BIGCAS JL,et al. Augmented reality for endoscopic sinus surgery with surgical navigation:a cadaver study[J]. Int Forum Allergy Rhinol,2016,6(5):523-528. DOI:10.1002/alr.21702.
[10] VREUGDENBURG TD,LAMBERT RS,ATUKORALE YN,et al. Stereotactic anatomical localization in complex sinus surgery:a systematic review and meta-analysis[J]. Laryngoscope,2016,126(1):51-59. DOI:10.1002/lary.25323.
[11] THEODORAKI MN,LEDDEROSE GJ,BECKER S,et al. Mental distress and effort to engage an image-guided navigation system in the surgical training of endoscopic sinus surgery:a prospective,randomised clinical trial[J]. Eur Arch Otorhinolaryngol,2015,272(4):905-913. DOI:10.1007/s00405-014-3194-0.
[12] 文晶莹,甄宏韬,史丽丽,等. Fusion影像导航在鼻内镜手术中的应用体会[J]. 临床耳鼻咽喉头颈外科杂志,2015,29(16):1431-1433.
[13] CAVERSACCIO M,LANGLOTZ F,NOLTE LP,et al. Impact of a self-developed planning and self-constructed navigation system on skull base surgery:10 years experience[J]. Acta Otolaryngol,2007,127(4):403-407.
[14] YADAV YR,PARIHAR V,JANAKIRAM N,et al. Endoscopic management of cerebrospinal fluid rhinorrhea[J]. Asian J Neurosurg,2016,11(3):183-193.
[15] IRUGU DV,STAMMBERGER HR. A note on the technical aspects and evaluation of the role of navigation system in endoscopic endonasal surgeries[J]. Indian J Otolaryngol Head Neck Surg,2014,66(Suppl 1):307-313. DOI:10.1007/s12070-011-0380-x.
[16] GILAT H,RAPPAPORT Z,YANIV E. Endoscopic transnasal cerebrospinal fluid leak repair:a 10 year experience[J]. Isr Med Assoc J,2011,13(10):597-600.
[17] SHARMA GK,FOULAD A,SHAMOUELIAN D,et al. Inefficiencies in computed tomography sinus imaging for management of sinonasal disease[J]. Otolaryngol Head Neck Surg,2017,156(3):575-582. DOI:10.1177/0194599816685694.
[1] 吴宏娇. 综合护理干预改善经鼻内镜垂体瘤术后早期头痛的效果分析[J]. 中国医科大学学报, 2017, 46(3): 270-272.
[2] 丁晓旭,胡玥,姜菲菲,阎艾慧,姜学钧. 鼻内镜手术治疗复发性鼻窦炎Ⅲ型的临床疗效观察[J]. 中国医科大学学报, 2016, 45(6): 566-568.
[3] 朱怡霏,李莉. 影像导航引导经鼻内镜鼻颅底手术的手术护理配合[J]. 中国医科大学学报, 2016, 45(12): 1136-1138.
[4] 丁晓旭, 赵宁, 姜菲菲, 胡玥, 阎艾慧, 姜学钧. 硅胶双气囊止血导管在鼻内镜术后鼻腔填塞的效果观察[J]. 中国医科大学学报, 2015, 44(6): 543-544.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!

中国医科大学学报版权所有©2018

未经允许,严禁擅自转载本站图文资料

地址:中国 沈阳市沈北新区蒲河路77号 110122

辽ICP备05014850

JOURNAL OF CHINA MEDICAL UNIVERSITY

ADDRESS: NO.77 PUHE ROAD

SHENYANG NORTH NEW AREA, SHENYANG

LIAONING PROVINCE, P.R. CHINA