[サイ眼窩関連の内視鏡手術における画像ガイドテクニックの適用]

目的：遡及的に遡及的にレビューするRhino眼窩関連の内視鏡手術の6例を融合することを支援し、内視鏡手術における画像誘導技術の適応と臨床的価値を調査しました。融合電磁系を使用した鼻内視鏡下洞手術の1つの鼻の浸透性異物、2つの視神経頂点血管腫、1つの眼窩前洞嚢胞、1因子内質量生検を含む鼻腔電磁系を分析しました。術中の位置と外科的コヒーレンス、術中および術後の手術の合併症が記録されました。復活時間は（8.13±1.858）航海の最小で、副鼻腔外骨、眼窩板、頭蓋骨ベース、視神経、内頸動脈、内頸動脈および内頸動脈、および他の重要な構造はすべての患者に正確に配置できますが、登録は1 mm以内に正確でした。SIX患者は画像ガイドテクニックによって成功裏に手術を受けました。本当に微小侵襲的で正確なサイの眼窩眼窩関連の内視鏡手術。術前の準備時間が短くなり、手術航法の精度が高く、外科的一貫性と安全性が向上し、外科的合併症を減らし、補助ツールとして、外科医の代わりになりません。解剖学的知識、外科的訓練、臨床経験。

Objective:To review retrospectively six cases of rhino-orbital related endoscopic surgeries aided by Fusion electromagnetic system,to explore the indications and clinical value of image guided technique in endonasal endoscopic surgery.Method:Retrospective research methods were used.In this study,six cases of nasal endoscopic sinus surgery using Fusion electromagnetic system were analyzed,including 1 nasal penetrating foreign body,2 optic nerve decompressions,1 orbital apex hemangioma,1 sieve frontal sinus cyst,1 intraorbital mass biopsy.The preparation time of navigation system,the accuracy of intraoperative positioning and surgical coherence,intraoperative and postoperative complications of surgery were recorded.Result:The average preparation time was(8.13 ± 1.858)min.In the navigation,the sinus ostium,orbital cardboard,skull base,optic nerve,internal carotid artery and other important structures can be accurately located in all patients,while registrations had been accurate within 1 mm.Six patients were successfully operated by image guided technique.There was no intracranial or intraorbital complications due to intraoperation error.Conclusion:Image guided technique allows for a truely microinvasive and accurate rhino-orbital related endoscopic surgeries.It requires less preoperative preparation time,has high surgical navigation accuracy,improves the surgical coherence and safety,and reduces the surgical complicationgs.However,as an auxiliary tool,it can not replace the surgeon's anatomical knowledge,surgical training and clinical experience.