[1]邬迎喜　张韫泽　薛亚飞　赵天智　屈　延.“筷子技术”在鼻内镜经鼻入路手术中的应用[J].中国临床神经外科杂志,2020,(07):417-420.[doi:10.13798/j.issn.1009-153X.2020.07.001]
　WU Ying-xi,ZHANG Yun-ze,XUE Ya-fei,et al.Application of "chopsticks technique" in endoscopic endonasal approach surgery[J].,2020,(07):417-420.[doi:10.13798/j.issn.1009-153X.2020.07.001]
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“筷子技术”在鼻内镜经鼻入路手术中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年07期
页码:
417-420
栏目:
论著
出版日期:
2020-07-25

文章信息/Info

Title:
Application of "chopsticks technique" in endoscopic endonasal approach surgery
文章编号:
1009-153X（2020）07-0417-04
作者:
邬迎喜　张韫泽　薛亚飞　赵天智　屈　延
710038 西安，中国人民解放军空军军医大学唐都医院神经外科（邬迎喜、张韫泽、薛亚飞、
Author(s):
WU Ying-xi;  ZHANG Yun-ze;  XUE Ya-fei;  ZHAO Tian-zhi;  QU Yan.
Department of Neurosurgery, Tangdu Hospital, The Air Force Medical University, PLA, Xi'an 710038, China
关键词:
鞍区或鞍旁病变; 鼻内镜; 经鼻入路; “筷子技术”; 手术效果
Keywords:
Sellar or parasellar lesions;  Endoscopic endonasal transsphenoidal approach surgery;  Chopsticks technique
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2020.07.001
文献标志码:
A
摘要:
赵天智、屈　延）
Abstract:
Objective To explore the safety and effectiveness of "chopsticks technique" in the endoscopic endonasal approach surgery. Methods The clinical data of 62 patients with sellar or parasellar lesions who underwent endoscopic endonasal approach surgery assisted by "chopsticks technique" from June 2017 to May 2019 were analyzed retrospectively. The "chopstick technique" was performed that the surgeon held both endoscope and aspirator in left hand, which was like holding a pair of chopsticks, and held another surgical instrument to complete various procedures in right hand during the surgery. The surgeries performed on the basis of the location and size of lesions, including traditional endoscopic transnasal transsphenoidal approach in 43 patients, expanded endoscopic transnasal transsphenoidal in 16, transpterygoid in 1, endoscopic transnasopharyngeal for odontoid abrasion in 1 and endoscopic prelacrimal recess in 1. Results Of these 62 patients, 46 patients were pituitary adenomas, 5 were Rathke cysts, 4 were craniopharyngiomas, 2 were clonal meningioma, 1 was vacuolar sella, 1 was inflammatory granuloma, 1 was cystic carcinoma in the pterygopalatine fossa and paracavernous glands, 1 was schwannoma in the inferior temporal fossa, and 1 was syringomyelia associated with odontoid malformation. Total resection of lesions was achieved in 53 patients and subtotal in 9. Gamma knife radiotherapy was performed on 6 of 9 patients with subtotal resection of lesions one month after the surgery. Postoperative complications occurred in 41 patients, including cerebrospinal fluid rhinorrhea in 4, hypopituitarism in 9, electrolyte disorder in 17 and diabetes insipidus in 11. Conclusions During the endoscopic endonasal approach surgery, "chopsticks technique" can satisfactorily complete a variety of operations such as the operations via ethmoid approach, transsphenoidal approach, via pterygoid process approach and transepithelial crypts approach, which can significantly relieved the incompatibility between the surgeon and assistant during the traditional transnasal surgery, and improve the intraoperative experience and the efficiency of the operation

参考文献/References:

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备注/Memo

备注/Memo:
（2020-02-22收稿，2020-04-19修回）通讯作者： 赵天智，E-mail：ares1102@126.com
更新日期/Last Update: 2020-07-20