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婴幼儿先天性基底型脑膜脑膨出的诊断与治疗

杨小健 张杰 唐力行 王蓬鹏 葛文彤

中国耳鼻咽喉头颈外科2017,Vol.24Issue(3):128-131,4.
中国耳鼻咽喉头颈外科2017,Vol.24Issue(3):128-131,4.DOI:10.16066/j.1672-7002.2017.03.005

婴幼儿先天性基底型脑膜脑膨出的诊断与治疗

Diagnosis and treatment of congenital basal encephaloceles in infants

杨小健 1张杰 1唐力行 1王蓬鹏 1葛文彤1

作者信息

  • 1. 首都医科大学附属北京儿童医院耳鼻咽喉头颈外科,儿童耳鼻咽喉头颈外科疾病北京市重点实验室,北京 100045
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摘要

Abstract

OBJECTIVE To discuss the diagnosis and endoscopic treatment of congenital basal encephaloceles in infants.METHODS We retrospectively reviewed the clinical data of 6 infants with congenital basal encephaloceles in Beijing Children's Hospital between January 2014 to September 2016. CT and MRI were performed routinely. All patients underwent endoscopic resection of encephaloceles and repair of skull base defects. RESULTS Five patients presented with transethmoidal encephaloceles and one transsphenoidal encephaloceles. All patients underwent endoscopic procedure successfully. There were no complications except for one 7-month old girl who got purulent meningitis. All patients had favorable clinical outcomes during a follow-up of 3 to 29 months.CONCLUSION For infants with persistent nasal obstruction and nasal neoplasms, congenital basal encephaloceles should be considered. Nasal coronary CT and sagital MRI are of paramount importance in the diagnosis of congenital basal encephaloceles in infants. The endoscopic procedure is the safe and effective method for the management of congenital basal encephaloceles in infants.

关键词

脑膜膨出/内窥镜检查/婴儿

Key words

Meningocele/Endoscopy/Infant

引用本文复制引用

杨小健,张杰,唐力行,王蓬鹏,葛文彤..婴幼儿先天性基底型脑膜脑膨出的诊断与治疗[J].中国耳鼻咽喉头颈外科,2017,24(3):128-131,4.

基金项目

北京市教育委员会科技计划面上项目(KM20141002502) (KM20141002502)

中国耳鼻咽喉头颈外科

OACSCDCSTPCD

1672-7002

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