鼻内镜下复发性鼻一鼻窦内翻性乳头状瘤的手术径路选择  

Selection of approach for nasal endoscopic surgery of recurrent sinonasal inverted papilloma

作　　者：何龙[1] 谢景华[1] 吴晓钟[1] 高雄辉[1] 孟庆翔[1] 潘晓李[1] 

机构地区：[1]广州市第一人民医院耳鼻咽喉头颈外科,广东广州510180

出　　处：《广州医学院学报》2010年第5期36-38,共3页Academic Journal of Guangzhou Medical College

摘　　要：摘要目的：探讨复发性鼻一鼻窦内翻性乳头状瘤鼻内镜下各种手术径路的选择和治疗效果。方法：回顾性分析1999年11月-2007年1月本院耳鼻咽喉头颈外科17例鼻内镜下经3种不同手术径路治疗的复发性鼻-鼻窦内翻性乳头状瘤患者的临床资料。其中鼻内镜单纯鼻内径路手术6例，鼻内镜辅助柯-陆径路手术10例，鼻内镜辅助鼻侧切开径路手术1例。结果：随访21～105个月，2例术后复发（11．8％），均为鼻内镜单纯鼻内径路手术组，鼻内镜辅助柯-陆径路手术组和鼻内镜辅助鼻侧切开径路手术组未见1例复发。结论：鼻内镜辅助鼻外径路手术可能是治疗复发性鼻-鼻窦内翻性乳头状瘤的有效方法。Objective：To explore the selection and to investigate the efficacy of different nasal endoscopic surgery approaches for recurrent sinonasal inverted papilloma. Methods：Seventeen cases of recurrent sinonasal inverted papilloma, registered to our department between November 1999 and January 2007, were analyzed retrospectively. These patients were treated by surgery via one of three approaches, including endonasal endoscopic approach in 6 cases, nasal endoscope assisted Caldwell-Luc approach in 10 and nasal endoscope assisted lateral rhionotomy approach in 1. Results：During follow-up for a mean of 21 to 105 months, recurrence of papilloma was developed in two patients previously treated via endonasal endoscopic approach, bat not in groups treated via nasal endoscope assisted Caldwell-Luc approach or nasal endoscope assisted lateral rhionotomy approach. Conclusion：Sugery via nasal endoscope assisted extranasal approaches may be an effective method for recurrent sinonasal inverted papilloma.

关 键 词：鼻肿瘤 乳头状瘤 肿瘤复发 内镜手术 

分 类 号：R762[医药卫生—耳鼻咽喉科]