超声联合CT导航行颅颌面颈部金属异物取出术32例临床分析

doi:10.19438/j.cjoms.2017.03.008

中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (3): 230-234.doi: 10.19438/j.cjoms.2017.03.008

超声联合CT导航行颅颌面颈部金属异物取出术32例临床分析

冯杭¹，邢乐君¹，王丽¹，陈犹白¹，赵蕊²，步荣发¹，张海钟¹

1.中国人民解放军总医院口腔颌面外科；
2.护理部，北京 100853

收稿日期:2016-11-11 修回日期:2017-01-04 出版日期:2017-05-20 发布日期:2017-06-09
通讯作者: 国家自然科学基金（31271004）；首都临床特色应用研究与成果推广项目（Z161100000516191）
作者简介:冯杭(1992-)，男，硕士研究生，医师，E-mail:fenghang301@outlook.com
基金资助:
张海钟，E-mail: zhanghz126301@126.com

Removal of metal foreign bodies retained in the cranio-maxillofacial region under ultrasonic navigation combined with CT: report of 32 cases

FENG Hang¹, XING Le-jun¹, WANG Li¹, CHEN You-bai¹, ZHAO Rui², BU Rong-fa¹, ZHANG Hai-zhong¹

1.Department of Oral and Maxillofacial Surgery；
2.Department of Nursing, The Chinese PLA General Hospital. Beijing 100852, China

Received:2016-11-11 Revised:2017-01-04 Online:2017-05-20 Published:2017-06-09

摘要/Abstract

摘要： 目的：研究超声联合CT导航行颅颌面颈部金属异物取出术的手术方法和临床疗效。方法：回顾分析32例颅颌面颈部金属异物滞留患者的临床资料，通过超声联合CT导航实施异物取出。结果：32例患者的颅颌面颈部共滞留金属异物194颗，其中通过超声导航取出36颗，通过CT导航取出153颗，取出率达97.4%；术中定位准确，出血量少，术后患者均无明显手术并发症。结论：采用超声和CT导航，可精确定位并安全取出滞留于颅颌面颈部的金属异物，避免损伤重要的生理解剖结构，取得了良好的临床疗效。

关键词: 金属异物, 异物取出术, 超声导航, CT导航

Abstract: PURPOSE: To investigate the clinical efficiency of using ultrasonic navigation combined with CT to remove metal foreign bodies in the skull base and maxillofacial region. METHODS: The clinical data of 32 patients were reviewed. The metal foreign bodies were removed under ultrasonic navigation combined with CT. RESULTS: All 32 patients had good results and minor side effects. The foreign bodies were located accurately and removed with short operation time and less bleeding. Among 194 foreign bodies, 36 were removed under navigation ultrasound, 153 were removed under CT navigation; the total removal rate was 97.4%. CONCLUSIONS: Ultrasonic navigation and CT could fix accurately on the position of foreign body, avoiding important blood vessel and nerve injury during operation.

Key words: Metal foreign bodies, Removal of foreign body, Ultrasonic navigation, CT navigation

中图分类号:

R782.4

冯杭，邢乐君，王丽，陈犹白，赵蕊，步荣发，张海钟. 超声联合CT导航行颅颌面颈部金属异物取出术32例临床分析[J]. 中国口腔颌面外科杂志, 2017, 15(3): 230-234.

FENG Hang, XING Le-jun, WANG Li, CHEN You-bai, ZHAO Rui, BU Rong-fa, ZHANG Hai-zhong. Removal of metal foreign bodies retained in the cranio-maxillofacial region under ultrasonic navigation combined with CT: report of 32 cases[J]. China J Oral Maxillofac Surg, 2017, 15(3): 230-234.

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超声联合CT导航行颅颌面颈部金属异物取出术32例临床分析

Removal of metal foreign bodies retained in the cranio-maxillofacial region under ultrasonic navigation combined with CT: report of 32 cases

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