摘要
目的探讨低温等离子辅助下经鼻前中颅底肿瘤切除的应用效果。方法回顾性分析17例运用经鼻低温等离子切除前中颅底肿瘤患者的病历资料。总结该技术应用优点与不足,观察术后并发症情况及治疗效果。结果本组病例的术中出血量为70~800 mL,中位数出血量为210 mL;手术时间为50~270 min,中位数手术时间为145 min;住院时间为10~35 d,平均21 d。17例鼻腔鼻窦及颅底肿瘤均进行了彻底切除,术后无颅神经损伤及相关功能障碍出现,无脑脊液鼻漏及颅内感染等并发症。随访(54.9±29.8)个月,3例死亡、1例失访,其余无肿瘤复发。结论低温等离子辅助下经鼻前中颅底肿瘤切除术是一种安全有效的辅助措施。
Objective To investigate the effect of low-temperature plasma-assisted transnasal middle skull base tumor resection. Methods A retrospective analysis of the medical records of 17 patients with anterior middle skull base tumors excised using intranasal low-temperature plasma was conducted. The advantages and disadvantages of this technique were summarized, and the postoperative complications and therapeutic effects were noted. Results The intraoperative blood loss in this group was 70-800 mL, and the median blood loss was 210 mL. The duration of surgery was 50-270 min, and the median duration of surgery was 145 min. The duration of hospital stay ranged from 10 to 35 days, with an average of 21 days. All the 17 cases of nasal sinus and skull base tumors were completely resected. No cranial nerve injury and related dysfunction and complications, such as cerebrospinal fluid rhinorrhea and intracranial infection, were observed after the surgery. The patients were followed up for 54.9±29.8 months;3 died, 1 was lost to follow-up, and the rest had no tumor recurrence. Conclusion Low-temperature plasma-assisted transnasal middle skull base tumor resection can safely and effectively reduce intraoperative hemorrhage, the duration of surgery, and postoperative complications.
作者
孙川
刘亚群
何双八
张庆翔
SUN Chuan;LIU Yaqun;HE Shuangba;ZHANG Qingxiang(Department of Otorhinolaryngology&Head and Neck Surgery,Nanjing Tongren Hospital,School of Medicine,Southeast Universi-ty/Nanjing Tongren ENT Hospital,Nanjing211102,Jiangsu,China)
出处
《山东大学耳鼻喉眼学报》
CAS
2021年第2期55-59,共5页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
颅底肿瘤
鼻内窥镜
低温等离子射频
手术
并发症
Skull base tumor
Nasal endoscope
Radiofrequency coblation
Surgery
complications
作者简介
通信作者:张庆翔,南京同仁医院院长助理、科教部主任、耳鼻咽喉头颈外科副主任,主任医师。2014年韩国首尔Yeson嗓音中心医院访问学者,2016年美国Stanford大学鼻颅底外科访问学者。学术任职:中国非公立医疗机构协会耳鼻咽喉头颈外科专业委员会秘书长,中国医促会颅底外科分会青年委员,江苏省医学会耳鼻咽喉头颈外科分会委员,南京医学会耳鼻咽喉头颈外科分会委员。学术成就:主持和参与省市级科研项目10余项,发表科研论文20余篇。奖项荣誉:2010年,中华医学会中青年学术会议优秀论文二等奖,江苏省第三届“名医民选”百姓信任的医疗专家荣誉称号,2014年,中华医学会中青年学术会议优秀论文一等奖,2018、2019年,连续两次荣获中华医学会头颈外科年会青年医师手术视频大赛一等奖。E-mail:zhangqx@njtrh.org。
