鼻內(nèi)鏡手術(shù)頸內(nèi)動脈損傷3例
發(fā)布時間:2018-05-31 04:04
本文選題:內(nèi)鏡檢查 + 外科手術(shù) ; 參考:《臨床耳鼻咽喉頭頸外科雜志》2017年11期
【摘要】:正1病例報告例1女,49歲。因"鼻腔平滑肌肉瘤術(shù)后13年,鼻出血1周"入院。鼻內(nèi)鏡檢查見右側(cè)鼻腔后部腫物,根部位于右側(cè)鼻腔外側(cè)壁,表面灰紅色,觸之質(zhì)脆,易出血。鼻竇CT及MRI提示鼻腔及蝶竇內(nèi)不規(guī)則軟組織密度影,與顱內(nèi)尚有界限。入院經(jīng)活檢病理診斷為(鼻腔)平滑肌肉瘤。于2007年7月5日全身麻醉下行鼻側(cè)切開聯(lián)合鼻內(nèi)鏡下腫瘤切除術(shù),術(shù)中見腫瘤來源于右鼻腔外側(cè)壁及蝶竇,大小約為5.0cm×4.0cm×4.0cm,蝶竇前壁
[Abstract]:Case 1, female: 49 years old. Due to nasal smooth myoma 13 years after surgery, 1 week of epistaxis admitted. Nasal endoscopy showed the right nasal cavity posterior mass, the root was located on the lateral wall of the right nasal cavity, the surface was grayish red, the touch was brittle and bleeding easily. Ct and MRI showed irregular soft tissue density in nasal cavity and sphenoid sinus. The pathological diagnosis of admission was leiomyosarcoma (nasal cavity). On July 5, 2007, under general anesthesia, nasal incision combined with endoscopic resection of tumors was performed. The tumors originated from the lateral wall of the right nasal cavity and the sphenoid sinus. The size of the tumor was about 5.0cm 脳 4.0cm 脳 4.0 cm. The anterior wall of the sphenoid sinus was found to be from the anterior wall of the sphenoid sinus.
【作者單位】: 吉林大學第二醫(yī)院耳鼻咽喉科;
【分類號】:R765.9
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