儿童鼻腔鼻窦恶性肿瘤的临床表现和治疗的分析  

Clinical manifestations and treatment analysis of children with malignant tumor of nasal cavity and sinus

作　　者：郭平川 李友忠[2] 任基浩[2] 杨新明[2] 

机构地区：[1]湖南省湘阴县人民医院耳鼻咽喉头颈外科,湖南岳阳414600 [2]中南大学湘雅二医院耳鼻咽喉头颈外科,湖南长沙410110

出　　处：《中国内镜杂志》2012年第12期1307-1310,共4页China Journal of Endoscopy

摘　　要：目的探讨儿童鼻腔鼻窦恶性肿瘤的临床表现,比较传统手术与鼻内镜协同下手术治疗效果以及影响预后的因素。方法总结分析34例14岁以下儿童鼻腔鼻窦恶性肿瘤的临床资料和比较两种治疗方法。结果 34例鼻腔鼻窦恶性肿瘤患者中,通过手术结合放、化疗等综合治疗后,随访3～9年,28例死亡,2例复发仍存活,4例未复发。结论儿童鼻腔鼻窦恶性肿瘤症状不典型,不易早期诊断。对疑有鼻腔鼻窦新生物的儿童应及早行鼻内镜检查,并进行活检,以明确诊断,采用手术结合放、化疗等综合治疗可能获得较佳疗效。【Objective】To investigate the clinical manifestations of children nasal and paranasal sinus malignant neoplasms and compare the conventional operation with nasal endoscope operation treatment of synergy effect and prognostic factors.【Methods】The clinical data of 34 cases of children under the age of 14 malignant tumor of nasal cavity and sinus were studied and the two kinds of therapeutic methods were compared.【Results】34 cases of nasal cavity and paranasal sinus malignant tumor, by operation combined with radiotherapy and chemotherapy, comprehensive treatment and followed up for 3~9 years, 28 cases died, 2 cases recurrence survived, 4 patients without recurrence. 【Conclusion】Children malignant tumor of nasal cavity and sinus symptoms are not typical, difficult in early diagnosis. Suspected of nasal cavity and paranasal sinuses of children should early receive endoscopy, and biopsy, to confirm the diagnosis, and the use of operation combined with radiotherapy and chemotherapy, and other comprehensive treatment can obtain better effect.

关 键 词：鼻腔鼻窦肿瘤 内镜检查 手术 预后 

分 类 号：R739.62[医药卫生—肿瘤]