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253例原发鼻中隔肿块的临床分析
Clinical analysis of the primary nasal septum mass in 253 cases
【摘要】 目的:探讨鼻中隔肿块的临床诊断与治疗。方法:对1983年3月-2007年8月收治的253例原发于鼻中隔的肿块患者的临床资料进行回顾性分析。结果:253例鼻中隔肿块中,良性肿瘤219例,恶性肿瘤34例;良性肿瘤采用鼻内/鼻侧径路,随访6个月~12年(平均72个月),173例无复发和恶性变,12例复发再次手术,9例死于其他疾病,25例失访。恶性肿瘤采用鼻内/鼻侧径路加放/化疗,随访12个月~15年3个月,6例于术后2年~6年7个月因复发或转移而死亡;余28例生存,未见肿瘤复发。结论:对于原发于鼻中隔的良性肿瘤以手术切除为主,关键是一次性彻底切除,而恶性肿瘤应采取综合治疗,术后应进行定期随访。
【Abstract】 Objective:To study the methods of the surgical treatment for the nasal septum mass.Method:Two hundred and fifty-three cases of nasal septum mass were treated by surgery in our department from march 1983 to august 2007.Their clinical data were retrospectively analyzed.Result:After follow-up,most cases had no postoperative recurrence of nasal obstruction and epistaxis.Conclusion:If the diagnosis was confirmed,the effect of the surgical treatment for the nasal septum benign tumor is satisfactory.Follow-up should be done in cases with malignant tendency and malignant tumors.
- 【文献出处】 临床耳鼻咽喉头颈外科杂志 ,Journal of Clinical Otorhinolaryngology Head and Neck Surgery , 编辑部邮箱 ,2009年02期
- 【分类号】R765.9
- 【被引频次】3
- 【下载频次】89