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目的探讨直接单鼻腔-蝶窦入路显微镜联合鼻内镜手术治疗蝶窦内占位性病变的术式。方法回顾分析2006年1月至2011年1月开封市妇幼保健院采用直接单鼻腔-蝶窦入路显微镜联合鼻内镜手术治疗18例蝶窦内占位性病变的资料。结果本组患者肿瘤息肉均得以全切,囊肿均得以充分引流。无并发症。临床症状基本消失。结论直接单鼻腔-蝶窦入路显微镜联合鼻内窥镜手术治疗蝶窦内占位性病变彻底,出血少,径路短,操作简单,损伤轻微,并发症少。
Objective To explore the direct nasal - sphenoid sinus approach combined with endoscopic sinus surgery for the treatment of space-occupying lesions in the sphenoid sinus. Methods The data of 18 patients with space-occupying lesions in the sphenoid sinus treated with direct single nasal-sphenoid sinus approach and endoscopic sinus surgery were retrospectively analyzed from January 2006 to January 2011 in Kaifeng MCH hospital. Results All patients with tumor polyps have been fully resected, cysts were fully drainage. No complications. Clinical symptoms disappeared. Conclusion The direct single nasal - sphenoid sinus approach combined with endoscopic sinus surgery in the sphenoid sinus lesions completely, less bleeding, short path, simple operation, minor injuries, fewer complications.