【摘要】：目的:探討影像導(dǎo)航對辨別額隱窩氣房的價值。方法:收集2014-11-2015-12期間影像導(dǎo)航下內(nèi)鏡額竇開放手術(shù)資料30例,依據(jù)與額竇口的關(guān)系將額隱窩氣房分為A組(位于額竇口下方的額隱窩氣房)與B組(位于額竇口上方的額隱窩氣房),采用視覺模擬量表評價影像導(dǎo)航對額隱窩氣房定位辨別的需求程度,比較分析影像導(dǎo)航在辨別兩組額隱窩氣房的價值。結(jié)果:30例均順利完成額竇開放術(shù),各型額隱窩氣房對影像導(dǎo)航的需求程度分別為:鼻丘氣房、Ⅰ型額氣房、Ⅱ型額氣房、篩泡上氣房為輕微需要;額泡氣房、額竇間隔氣房為一般需要;Ⅲ型額氣房、Ⅳ型額氣房、眶上篩房為明顯需要。B組額隱窩氣房較A組需要影像導(dǎo)航的程度高,組間差異有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論:影像導(dǎo)航對Ⅲ型額氣房、Ⅳ型額氣房、眶上篩房、額竇間隔氣房具有辨別價值,指導(dǎo)術(shù)中精確切除這些額隱窩氣房有明顯幫助。
[Abstract]:Objective: to explore the value of image navigation in identifying frontal recess gas chamber. Methods: 30 cases of endoscopic frontal sinus surgery were collected during 2014-11-2015-12. According to the relationship between frontal sinus orifice and frontal sinus orifice, frontal recess gas chamber was divided into two groups: group A (frontal recess below frontal sinus) and group B (frontal recess above frontal sinus). The visual analogue scale was used to evaluate the frontal recess by image navigation. The degree of demand for gas chamber location discrimination, The value of image navigation in distinguishing frontal recess gas chamber between two groups was compared and analyzed. Results all 30 cases successfully completed frontal sinus surgery. The demands for image navigation in all types of frontal recess gas chamber were as follows: nasal colliculus chamber, type I frontal chamber, type 鈪，

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