鼻内翻性乳头状瘤的手术方式选择.pdfVIP

2010, 16( 7) Journal of H ainan Medical niversity 909 , ( , 214002) [ ] 目的: 探讨不同手术进路切除鼻内翻性乳头状瘤的适应证方法: 对78 例鼻内翻性乳头状瘤 患者术前行鼻窦CT M RI 和鼻内镜 查, 进行Kr use 分期, 分别予鼻侧切开术单纯鼻内镜手术经鼻 内镜联合上颌窦根治术, 术后随访15 个月~ 11 年, 平均 36 个月结果: 鼻侧切开术33 例, 术后复发6 例( 18. 2% ) ; 单纯鼻内镜手术组26 例, 复发2 例( 7. 6%) ; 经鼻内镜联合上颌窦根治术进路 19 例, 复发 3例( 15. 8% ) 单纯鼻内镜手术及鼻内镜联合鼻外进路组术后平均复发率为11. 1% , 明显低于鼻侧切 开组( P 0. 05) 结论: 应依据肿瘤原发部位和范围选择相应的术式Kr use 分期 I~ III 期患者, 可 采用单纯鼻内镜或经鼻内镜联合上颌窦根治术进路, Kr use 分期IV 期患者还是采用鼻侧切开较稳妥 [ ] 鼻肿瘤; 内翻性乳头状瘤; 鼻内镜 [ ] R739. 62 [ ] B [ ] 20 10) Different surgery approaches for nasal inverted papilloma ZHAO Xin, XIAO Dajiang (Dep artment of Otorhinolaryngology , Wuxi Second Hosp ital Af f iliated to Nanj ing Medical ni versity, Wuxi Jiangsu 214002, China) [FoundationProj ect] : HainanMedical niversity Scientfi ic Research Fund Supported Proj ect of theJournal(0020100256) [A uthor] : ZH AO X in ( 1978 ), Male, Wuxi J iangsu, A ttending Physician, Tel: 1392 1500307, Email: candycatding@hotmail. com. Received: Revised: JH MC, 20 10; 16(7): 909911 View from specialist : It is creative, and of certain scientific and educati onal value. [ ABSTRACT] Obj ective T discuss indicati ns f nasal inverted papill ma f r surgical treatments by different appr aches. Methods Kr use sc res f 78 nasal inverted papill ma cases w ere evaluated based n CT , MRI scan, r end nasal end sc py examinati n. Rhin t my, simple end nasal end sc pic surgery, c mbined end nasal end sc py and radical max illary sinus t my w ere sper ately perf rmed n these pa tients. An average f 36 m nthsf ll wup ranging fr m 15 m nths t 11 y ears w as c nducted. Results F ll w up sh w ed that recurrence rate w as 18. 2% ( 6/ 33) 7. 6% ( 2/ 26)