鼻内翻性乳头状瘤手术径路的选择与疗效  

Different Surgical Approaches and Effects in Nasal Inverted Papillom

作　　者：郭敛容[1] 刘钧[1] 郑世信[1] 

机构地区：[1]北京大学深圳医院耳鼻喉科,深圳518036

出　　处：《中国现代手术学杂志》2011年第4期297-299,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨鼻内镜及鼻内镜联合径路治疗鼻内翻性乳突状瘤的疗效。方法回顾性分析我科2002年1月～2010年9月有随访资料的鼻内翻性乳头状瘤45例,按Krause分期T1期2例和T2期32例采用单纯鼻内镜术,T3期10例采用鼻内镜联合柯-陆氏术式,T3期1例采用鼻内镜联合鼻侧切开术。结果 45例平均随访3.5年(6个月～9年),5例术后复发,复发率为11.1%。结论鼻内镜术治疗鼻内翻性乳头状瘤是一种有效的方法。Krause T1、T2期肿瘤可采用单纯鼻内镜术,KrauseT3期肿瘤可采用鼻内镜联合传统手术径路。Objective To evaluate the effects of nasal endoscopic surgery and endoscopic plus traditional procedures in the treatment of nasal inverted papilloma （NIP）. Methods 45 cases diagnosed NIP since January 2002 to September 2010 were retrospectively analyzed. According to the Krause staging system for NIP, 2 cases of stage T1 and 32 cases of stage T2 were treated by nasal endoscopic surgery only; 10 cases of stage T3 were treated with endoscopy plus Caldwell-Luc approach and 1 case of stage 13 was treated with endoscopy plus lateral rhinotomy approach. Results All patients were followed up from 6 months to 9 years with an average of 3.5 years. There were 5 patients recurred with the recurrence rate was of 11.1% （5/45）. Conclusions The nasal endoscopic surgery is an effective method to treat NIP. Krause T1 or T2 tumor can use nasal endoscopic surgery only. As for stage T3 patients, endoscopy plus traditional approach can be used.

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]