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目的探讨婴幼儿鼻腔先天性占位的诊断与鼻内镜手术治疗。方法总结分析12例婴幼儿鼻腔先天性占位的临床表现、鼻内镜检查、CT及MRI影像学及术中表现。结果脑膜脑膨出3例,神经胶质瘤1例,错构瘤3例,畸胎瘤1例,血管瘤3例,胚胎性横纹肌肉瘤1例。结论婴幼儿鼻腔先天性占位良性多见,治疗以手术完全切除为主,术前鼻内镜检查、增强薄层CT及增强MRI影像学检查对术前诊断、手术方式选择和手术风险评估十分必要。鼻内镜手术可以完全切除大多数病变,并且具有创伤小、视野清晰等优点。
Objective To investigate the diagnosis and treatment of nasal congenital space-occupying in infants and young children. Methods The clinical manifestations, nasal endoscopy, CT and MRI imaging and intraoperative findings of nasal congenital space occupying in 12 infants were summarized. Results Three cases of meningoencephalocele, one case of glioma, three cases of hamartoma, one case of teratoma, three cases of hemangiomas and one case of embryonic rhabdomyosarcoma. Conclusions Infantile nasal congenital space-occupying benign and common, the treatment of complete resection of the main preoperative nasal endoscopy, enhanced thin layer CT and enhanced MRI imaging preoperative diagnosis, choice of surgical approach and surgical risk assessment is very necessary. Endoscopic sinus surgery can completely remove most lesions, and has a small trauma, clear vision and so on.