影像导航结合低温等离子在鼻颅底手术中的应用

Application of image navigation combined with low-temperature plasma in nasal skull base surgery

摘要:

目的探讨影像导航结合低温等离子在鼻颅底手术中的应用效果和临床经验总结。方法回顾性分析2017年8月—2022年3月南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科收治的7例采用鼻内镜下影像导航结合低温等离子治疗累及鼻颅底病变患者的临床资料，结合手术治疗及术后疗效进行综合评价。结果所有患者在导航引导下准确找到病变组织并结合低温等离子技术予以切除，手术顺利，术后随访33~87个月，均未见复发或症状加重。手术效果满意，且术后均无眶内及颅内等严重并发症。结论对于累及鼻颅底病变的患者，影像导航结合低温等离子能够提高手术精度，减少手术风险，有效降低术后并发症的发生，其为精准化治疗奠定了基础，也证明了其在鼻颅底手术中的有效性和可行性。

Abstract:

Objective To explore the application of image navigation combined with low-temperature plasma in nasal skull base surgery and summarize our clinical experience. Methods A retrospective analysis was conducted on the clinical data of 7 patients with nasal skull base lesions treated via endoscopic image navigation combined with low-temperature plasma at the department of otolaryngology head and neck surgery, Nanjing Drum Tower hospital affiliated to Nanjing university medical school, from August 2017 to March 2022. Comprehensive evaluations were performed based on surgical treatment and postoperative outcomes. Results The lesions were accurately located under navigation guidance and smoothly removed using low-temperature plasma technology in all the patients. They were followed up for 33 to 87 months after operation, and no recurrence or symptom aggravation was observed. The surgical outcomes were satisfactory, and there were no serious postoperative complications such as orbital and intracranial ones. Conclusions For patients with nasal skull base lesions, the combination of image navigation and low-temperature plasma can improve surgical accuracy, reduce surgical risks, and effectively lower the occurrence of postoperative complications. which lays the foundation for precise treatment and also proves its effectiveness and feasibility in nasal skull base surgery.