鼻咽血管纤维瘤的微创外科治疗  

Endoscopy nasal microsurgery and multiple techniques in treatment of nasopharyngeal angiofibromas

作　　者：李同丽[1] 王东[1] 陈煜[1] 张浩杰[1] 邢彩霞[1] 高煜[1] 乔晓峰[1] 

机构地区：[1]山西省人民医院耳鼻咽喉科,太原030012

出　　处：《肿瘤研究与临床》2008年第5期327-328,共2页Cancer Research and Clinic

基　　金：山西省卫生厅科技攻关项目(200525)

摘　　要：目的 探讨综合应用多种有效的止血措施,鼻内窥镜下微创外科治疗鼻咽血管纤维瘤的方法.方法 12例患者全部行CT、MRI鼻内窥镜检查术,术前2 d行数字减影血管造影术(DSA),并行供瘤动脉栓塞术,术中控制性低血压,瘤基注射肾上腺素利多卡因液,用自制的微型电刀电切-电凝肿瘤.结果 全部患者均在鼻内窥镜下完全切除肿瘤,无并发症,术后随访1年,无肿瘤复发.结论 选择恰当的手术适应证,术前做好充分的准备,将多种有效的止血措施合理应用并有机结合可减少术中出血.应用微创外科技术治疗鼻咽血管纤维瘤在缩短手术时间、减少手术创伤及并发症的发生、鼻腔功能保存和术后局部复发等方面具有明显的优势.Objective To explore the methods for endoscopy nasal microsurgery and multiple techniques in treatment of nasopharyngeal angiofibromas. Methods CT, MRI and digial substraction angiography (DSA) and endoscopic examination had been used. ALL 12 patients accepted preoperative feeding artery embolum, hypotention anesthesia and injected adrenaline-lidocaine. Microelectrotomy-electrocoagulation had been used to remove tumor. Results All patients were treated by endoscopic nasal surgery. No complications had occurred. No recurrence were found in follow-up period. Conclusion The important factors to reduce amount of introperative bleeding are to select proper operative patients and use multiple techniques. Endoscopy nasal surgery has dominance in reducing complications, wound, tumor recurrence, operative time and nasal function.

关 键 词：鼻咽肿瘤 血管纤维瘤 外科手术 微创性 内窥镜检查 

分 类 号：R73[医药卫生—肿瘤]