鼻内镜下治疗上颌窦内翻性乳头状瘤42例  

Endoscopic surgery for 42 cases with maxillary sinus inverted papilloma

作　　者：林峰[1,2] 卢永田[1,2] 

机构地区：[1]深圳市第二人民医院 [2]深圳大学附属第一医院耳鼻咽喉科,广东深圳518035

出　　处：《海南医学》2011年第10期114-115,共2页Hainan Medical Journal

摘　　要：目的研究累及上颌窦不同部位鼻内翻性乳头状瘤手术方式的选择和疗效。方法 42例累及上颌窦的内翻性乳头状瘤病例,采用鼻内镜下局部切除术15例、鼻内镜下上颌窦内侧壁切除术4例、鼻内镜下双径路手术23例,术后跟踪随访。结果随访时间1～10年,复发2例,复发率为4.8%。结论根据鼻内翻性乳头状瘤累及上颌窦的部位和范围不同,采取相应的手术方式,可以减少手术盲区,彻底切除肿瘤,降低复发率。Objective To investigate the selection criterion of endoscopic surgical approaches and its correlative efficacy of nasal inverted papilloma involved different parts of the maxillary sinus.Methods 42 cases were involved NIP in the maxillary sinus.Among these cases,we performed conservative transnasal endoscopic excision（15 cases）,radical transnasal endoscopic medial maxillectomy（4 cases）,combined approach（23 cases）.All the cases were routinely followed up from 1 to 10 years.Results Recurrence occurred in 2 patients（2/42,4.8%）.Conclusion According to the difference of location and extent of the maxillary sinus inverted papilloma,the appropriate surgical approach should be chosen to reduce the rate of recurrence.

关 键 词：内镜术 鼻肿瘤 乳头状瘤 内翻 

分 类 号：R739.62[医药卫生—肿瘤]