【摘要】 目的:探讨鼻咽纤维血管瘤的手术方法。方法:22例鼻咽纤维血管瘤患者均行手术治疗,其中经腭径路12例,经鼻腔径路5例(鼻侧切开2例,梨状孔径路2例,经前鼻孔径路1例),经口腔口咽径路2例,硬腭唇龈径路2例,鼻硬腭径路1例。结果:术中出血量最多1600ml,最少400ml。1例复发,其余21例随访1～2年无复发。结论:做好术前准备、选择适当的手术径路及采取颈外动脉结扎或数字减影血管栓塞术对防止复发、减少术中出血和完整切除肿瘤最为关键。更多还原

【Abstract】 Objective:To study the operations of nasopharyngeal angiofibroma.Mothod:Twenty-two patients with nasopharyngeal angiofibroma operated by various operative approaches were studied in this research.All their clinic data were collected and analyzed.Result:In the operation,the blooding amount was from 400 ml to 1600 ml.One case was recurred in half a year after operation.The other 21 cases didn’t recur after one to two years follow-up.Conclusion:In order to improve the treatmen, reduce the recurrence of tumor and decrease blooding in operation,better preparation before surgery,reasonable surgical route,external carotid artery deligation,embolization under digital subtraction angiography(DSA) and resecting the all tumor as possible in the operation are very important.更多还原