甲状腺机能障碍眼眶病的眶减压术,传统用鼻外进路或经鼻窦减压。作者采用内窥镜直视下经鼻进路施行减压手术。手术在全麻下进行,局部加用局麻和血管收缩剂。先在鼻内窥镜下作蝶筛窦切除。暴露眶内壁、颅底及眶尖额筛隐窝区。于中鼻道作窦切开,前到鼻泪管后缘、下至下鼻甲根部,后达鼻窦后缘,认清眶底处眶下神经。用一角刮匙、钝神经钩或细 Orbital decompression of orbital disease of thyroid dysfunction, the traditional method of nasal approach or sinus decompression. The author underwent endoscopic nasal approach decompression surgery. Surgery under general anesthesia, local anesthesia and vasoconstrictor. First under the nasal endoscope for butterfly ethmoid sinus resection. Exposed orbital wall, skull base and orbital screened neoplasm area. In the middle of the nasal cavity for sinus incision, before the nasolacrimal duct trailing edge, down to the inferior turbinate root, after the sinus sinuses margin, clear orbital at the infraorbital nerve. Use a corner curette, blunt nerve hook or fine