鼻内镜下鼻腔、鼻咽纤维血管瘤切除术  

Endoscopic surgery of nasal and nasopharyngeal angiofibroma

作　　者：孙亚男[1] 孙鑫[1] 刘鸣[1] 田霖丽[1] 郑岩[1] 韦钧[1] 

机构地区：[1]哈尔滨医科大学附属第二医院耳鼻咽喉科,黑龙江哈尔滨150086

出　　处：《中国内镜杂志》2008年第10期1021-1023,共3页China Journal of Endoscopy

基　　金：黑龙江省青年基金(No:QC06C054);哈尔滨医科大学二院博士启动基金

摘　　要：目的探讨鼻内镜下鼻腔、鼻咽纤维血管瘤切除的手术方法。方法11例鼻腔、鼻咽纤维血管瘤患者在内镜下完成手术。术中在鼻内镜引导下,运用电凝逐步凝固肿瘤根蒂部,运用电动切割器将根蒂切断,对于较大的肿瘤可用电刀将肿瘤切开,电凝止血,逐步取出。较大的鼻咽纤维血管瘤,将肿瘤推入鼻咽,经口取出。结果用鼻内镜顺利并完整的切除了鼻腔/鼻咽纤维血管瘤,术中出血60～550mL,术后无出血及其他并发症发生。术后随访2～5年,肿瘤无复发。结论采用鼻内镜进行切除是一种安全微创的手术,但需要选择病例。【Objective】To study the endoscopic operations of nasal and nasopharyngeal angiofibroma. 【Mothod】 11 patients with nasal or nasopharyngeal angiofibroma operated by nasal endoscopic operative approach were studied in this research. Electric coagulation was used to gradually congeal base of the tumors. Electric cutterbar was used to cut the bases of the tumor. Electrome was used to cut major tumors and tumors were taken out after stopping bleeding by electric coagulation. The major nasopharyngeal angiofibroma ...

关 键 词：血管纤维瘤 鼻内镜 外科手术 

分 类 号：R739.6[医药卫生—肿瘤]