基层医院开展内镜下鼻腔-鼻窦恶性肿瘤手术的体会  

Endoscopic Surgeries for Nasal Cavity-Sinus Malignancies in Primary Hospitals

作　　者：陈华英[1] 

机构地区：[1]浙江省义乌市中心医院耳鼻咽喉-头颈外科,322000

出　　处：《中国全科医学》2012年第17期2008-2009,共2页Chinese General Practice

摘　　要：目的探讨基层医院内镜下治疗鼻腔-鼻窦恶性肿瘤的体会。方法回顾性分析本科2007年7月—2010年7月鼻内镜下外科治疗的9例鼻腔-鼻窦恶性肿瘤患者的临床资料。9例患者的病理学类型分别为:内翻性乳头状瘤恶变2例,上颌窦鳞状上皮细胞癌3例,腺样囊性癌3例,鼻中隔乳头状腺癌1例。结果 9例患者均在内镜或内镜辅助下手术治疗,肿瘤全部或大部分切除,术后辅以放疗。随访0.5～4.0年,术后3～10个月复发于上级医院再次行鼻内镜手术治疗4例,术后半年死亡1例,术后随访至今未复发4例。结论在基层医院,要以完全切除肿瘤为原则,谨慎选择病例,逐步开展鼻内镜下的鼻腔-鼻窦恶性肿瘤的手术。Objective To investigate the feasibility of endoscopic surgeries for nasal cavity-sinus malignancies in primary hospitals.Methods A retrospective analysis was performed on the data of 9 patients with nasal cavity-sinus malignancies,having received endoscopic surgeries in Department of Otolaryngology from July 2007 to July 2010.The pathological types were inverted papilloma with malignant transformation（2 cases）,maxillary sinus squamous cell carcinoma（3 cases）,adenoid cystic carcinoma（3 cases）,nasal septum papillary adenocarcinoma（1 case）.Results All 9 patients were given endoscopic surgeries with tumors resected totally or subtotally,followed by radiotherapy.Follow-up lasted 6 months to 4 years.Four had recurrence 3~10 months after operation and received another endoscopic surgery in higher-level hospitals,1 died at the 6th months,no recurrence noted in 4 up to now.Conclusion In primary hospitals,patients should be chosen carefully and endoscopic surgeries performed gradually,based on total resection of tumors.

关 键 词：鼻腔 鼻窦 恶性肿瘤 鼻内镜 外科 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]