鼻内翻性乳头状瘤临床分型和术式选择  

Classification and surgical treatment for nasal inverted papilloma

作　　者：林峰[1] 梁勇[2] 卢永田[1] 万丽霞[1] 

机构地区：[1]深圳市第二人民医院南方医科大学附属深圳医院耳鼻咽喉科,广东深圳518035 [2]南方医科大学附属南方医院耳鼻咽喉科,广州510515

出　　处：《山东大学耳鼻喉眼学报》2008年第3期231-233,F0003,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的研究鼻内翻性乳头状瘤（nasal inverted papilloma，NIP）的临床分型以指导手术。方法用CT／MRI和鼻内镜检查47例NIP，明确病变起源，制定临床分型并采取相应的术式，术后跟踪随访。结果随访1～8年，Ⅰ型复发率为7．1％，Ⅱ型复发率为10．5％，总复发率为8．5％。首次手术复发率为2．8％，二次手术复发率为27．3％。结论按Reda Kamel的NIP临床分型方法，即根据病变的起源进行临床分型有利于手术方式的选择。Objective To investigate the clinical classification of nasal inverted papilloma （NIP） and its role in planning sur gery. Methods Forty-seven cases of NIP underwent curative surgeries, and clinical classification was identified by pre-operative endoscopy and CT or MRI imaging. All cases were routinely followed up from 1 to 8 years. Results Recurrence occurred in 4 patients （4/47, 8.5 % ）. The recurrence rate in type Ⅰ and type Ⅱpatients were 7. 1% （2/28） and 10.5 % （2/19）. Recurrence rate in the two times operation group was higher than that in the one time group （27.3 % vs 2.8 % ）. Conclusion Reda Kamel＇ s classification system based on NIP origin is helpful in planning surgery.

关 键 词：乳头状瘤 内翻性 临床分型 内窥镜检查 复发 

分 类 号：R739.62[医药卫生—肿瘤]