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目的 :探讨应用针形内窥镜对小儿鼻颅底疾病进行探查与手术的方法及疗效。方法 :在外径 1.9mm的进口针形内窥镜及电视图像系统监视下 ,对 8例小儿 ( 7d～ 12岁 )鼻颅底有关疾病进行探查与手术。结果 :先天性后鼻孔闭锁 3例中 ,1例好转 ,2例痊愈。外伤性脑脊液鼻漏 1例 ,经修补痊愈。先天性脑膜脑膨出 2例 ,确诊后1例暂缓治疗 ,另 1例行内窥镜手术痊愈。颅底神经母细胞瘤 2例取材作病理检查确诊。结论 :在电视图像监视下应用针形内窥镜对小儿鼻及颅底疾病进行检查与手术 ,图像清晰 ,损伤小 ,有助于某些疾病的诊断和治疗
Objective: To explore the method and efficacy of needle-type endoscopy for exploration and surgery of children with nasal skull base disease. Methods: Eight cases of pediatric (7d ~ 12 years) nasal skull base disease were probed and surgically treated with an imported needle endoscope with a diameter of 1.9mm and a television image system. Results: Among 3 cases of congenital posterior nosocomial atresia, 1 case improved and 2 cases recovered. One case of traumatic cerebrospinal fluid rhinorrhea recovered after repair. Congenital meningoencephalocele in 2 cases, diagnosed after a temporary suspension of treatment, and the other 1 case of endoscopic surgery cured. Skull base neuroblastoma 2 cases made for pathological examination confirmed. Conclusion: Under the surveillance of TV images, the application of needle-shaped endoscope to the examination and operation of pediatric nasal and skull base diseases, with clear images and less damage, is helpful for the diagnosis and treatment of some diseases