鼻内镜引导下切除原发后组筛窦内翻乳头状瘤  

Resection of primary inverted papilloma in posterior group ethmoid sinus via nasal endoscope

作　　者：阎艾慧[1] 李巍[1] 姜学钧[1] 李惠萍[1] 高翠英 

机构地区：[1]中国医科大学附属第一医院耳鼻咽喉科,辽宁沈阳110001 [2]辽河油田中心医院耳鼻咽喉科

出　　处：《中国医科大学学报》2005年第4期349-350,共2页Journal of China Medical University

摘　　要：目的:探讨原发于单侧后组筛窦的内翻性乳头状瘤的临床表现,影像学、组织病理学特点及外科治疗。方法:对7例原发于单侧后组筛窦的内翻性乳头状瘤进行回顾性分析,包括临床表现、鼻窦CT、应用鼻内镜下鼻内进路肿瘤切除的外科方法及预后。结果:原发于后组筛窦病例占鼻内翻性乳头状瘤的9.21%(7/76),随防6个月至5年,其中1例复发。结论:术前高精度的鼻窦CT对准确估计病变程度、范围、预测预后及确定手术方案是必须的。经鼻内镜鼻内进路切除原发于后组筛窦的内翻性乳头状瘤可以作为首选的外科治疗方法。对术后复发的病例,如果病变局限于鼻腔及鼻窦内的可以鼻内镜下再次手术。Objective： To discuss the clinical manifestation, radiographic features, histological findings, and surgical treatment of primary inverted papilloma from unilateral posterior group ethmoid sinus. Methods：An retrospective analysis was performed for 7 cases hospitalized,which were diagnosed as primary inverted papilloma in posterior ethmoid sinus. The cases underwent operation on resection of papilloma through sinonasal endoscope. The statistic data included clinical presentation, CT coronal scan of sinus, and record of operation. Results： In inverted papilloma of sinus, 9.21% （7/76） were from posterior group ethmoid sinus. All the cases showed no sign of recurrence during follow-up（6 months to 5 years） except one. Concluslon：The CT scan plays an important role in evaluating the degree and extent of papilloma, making operation plan, and indicating the prognosis. The resection of inverted papilloma from posterior group of ethmoid sinus through nasal sinus endoscope is the first choice of surgery treatment. The resection of papilloma via nasal endoscope can be done in recurrent cases only if the papilloma are limited in the nasal cavity and sinuses。

关 键 词：后组筛窦 乳头状瘤 内翻 鼻内镜 外科 

分 类 号：R739.62[医药卫生—肿瘤]