鼻内镜下手术切除鼻腔鼻窦内翻性乳头状瘤49例临床分析

【摘要】 目的探讨鼻内镜下手术切除鼻腔鼻窦内翻性乳头状瘤的方法,观察其治疗效果。方法回顾性分析2008～2010年间收治的49例鼻腔鼻窦内翻性乳头状瘤患者的临床资料,所有患者均行鼻内镜下切除手术。结果随访9～12个月发现,本组49例患者中,46例患者手术成功切除病变组织,手术成功率为93.9%,3例患者出现复发,复发率为6.1%,行二次手术治疗后随访1年,治疗效果良好,未见二次复发。术后2例患者鼻梁有轻微歪斜,并发症发生率为4.1%。结论鼻内镜下手术切除鼻腔鼻窦内翻性乳头状瘤能够取得较好的临床疗效,手术损伤小,术后复发率低,值得临床进一步推广使用,手术前要严格根据肿瘤来源和范围实施合理的手术方案,以提高临床治愈率。更多还原

【Abstract】 Objective To explore the operation under nasal endoscopic resection of sinonasal inverted papilloma method, observation of its curative effect. Methods A retrospective analysis of our hospital from 2008 to 2010, 49 cases of sinonasal inverted papilloma in patients with clinical data, all the patients underwent nasal endoscopic resection operation. Results All cases were followed up for 9 ~ 12 months, this group of 49 patients, 46 patients operation successful excision of diseased tissue, the success rate of the operation was 93.9%, 3 cases of patients with recurrence, the recurrence rate was 6.1%, two times operation treatment after a follow-up of 1 years, the curative effect is good, no two recurrence. 2 postoperative patients nose slightly askew, the complication rate was 4.1%. Conclusion Endoscopic operation resection of sinonasal inverted papilloma can obtain better clinical efficacy of operation, little injury, the recurrence rate is low, is worth the clinical popularized further, before the operation should strictly according to the tumor origin and the implementation of reasonable operation scheme, in order to improve the clinical cure rate.更多还原