鼻内镜下切除鼻腔及鼻窦内翻性乳头状瘤  

Endoscopic management of inverting papilloma in nasal cavity and paranasal sinuses

作　　者：孙家强[1] 孙敬武[1] 胡燕明[1] 吕秋萍[1] 汪银风[1] 李显光[1] 王明善[1] 金自仓[1] 叶非常[1] 

机构地区：[1]安徽省立医院耳鼻咽喉头颈外科,安徽合肥230001

出　　处：《中国耳鼻咽喉头颈外科》2006年第1期33-34,共2页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨鼻内镜下切除鼻腔及鼻窦内翻性乳头状瘤的治疗效果。方法根据Krouse的分期,回顾性分析30例行鼻内镜手术并运用内镜随访24个月Ⅰ～Ⅲ级鼻腔及鼻窦内翻性乳头状瘤患者的临床资料。结果30例均在鼻内镜下彻底切除肿瘤,无并发症发生。1例在手术后10个月复发恶变;2例分别在术后6和7个月复查时出现复发,咬除并以微波烧灼病变及基底黏膜,其后的随访中未出现复发;其余病例术腔光滑,在随访期间均未见复发。本组复发率为10%,恶变率为3.3%。结论鼻内镜下切除鼻腔及鼻窦内翻性乳头状瘤,有良好的治疗效果,术后复发率较低。OBJECTIVE To evaluate the therapeutic effect of intranasal endoscopic surgery on inverted papilloma of the nasal cavity and paranasal sinuses in stage Ⅰ-Ⅲ. METHODS According to the staging system developed by John H.Krouse, 30 cases with inverted papilloma in the nasal cavity and paranasal sinuses in stage Ⅰ-Ⅲ were analyzed retrospectively. All patients were treated by intronasal endscopic surgery and were followed up for 24 months. RESULTS The inverted papilloma was removed completely and no serious complications occurred. One case recurred at 10 month after surgery and pathologically proved to be cancerated. Another 2 case recurred at 6 and 7 month after surgery respectively. Recurred tumors were removed again, no recurrences occurred in the following up period. The recurrence rate was 10 % and canceration rate was 3.3 %. CONCLUSION Endoscopic surgery is an effective method in management of the inverting papilloma in nasal cavity and paranasal sinuses in stage Ⅰ-Ⅲ.

关 键 词：鼻肿瘤 乳头状瘤 内翻 内窥镜检查 

分 类 号：R739.62[医药卫生—肿瘤] R735.34[医药卫生—临床医学]