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目的:探讨蝶筛区域病变的特点,提高对本病的诊断及治疗水平。方法:经鼻内窥镜行蝶筛区域手术51例,41例蝶筛窦同时受累者采用经筛窦进路,10例孤立性蝶窦病变采用经鼻腔进路。结果:均无大量出血及其它严重并发症。随访6～36个月,48例痊愈,3例复发,经再次手术后痊愈。结论:蝶筛区域位置隐蔽,早期无特征性症状,易被临床医师忽视。CT检查对本病有较大价值,且对手术具有指导作用;经鼻内窥镜对蝶筛区域病变进行手术治疗,具有创伤少,痛苦小,面部不遗留瘢痕的优点。
Objective: To explore the characteristics of the lesions in the butterfly screen and to improve the diagnosis and treatment of this disease. Methods: 51 cases of nasal endoscopic sinus surgery, 41 cases of butterfly ethmoid sinus involved in the same way through the ethmoid sinus approach, 10 cases of solitary sphenoid sinus disease through the nasal approach. Results: No massive bleeding and other serious complications. All the patients were followed up for 6 ~ 36 months, 48 cases recovered, 3 cases relapsed, recovered after reoperation. Conclusion: The position of the butterfly sieve is hidden and has no characteristic symptoms in the early stage, which is easily neglected by clinicians. CT examination has great value for the disease, and has a guiding role in surgery; nasal endoscopy for the treatment of lesions in the butterfly screen area, with less trauma, little pain, facial scar left without the advantages.