沟通性鼻腔肿瘤的外科治疗(附75例报告)  

Surgical treatment for communicating nasal tumor (75 cases report) .

作　　者：王光辉[1] 牟虹[2] 张虹[1] 吴宇平[1] 吕扬成[1] 刘劲松[1] 马杰科[1] 李成[1] 朱江[1] 

机构地区：[1]四川省肿瘤医院头颈外科,四川成都610041 [2]解放军第452医院麻醉科,四川成都610021

出　　处：《四川医学》2013年第8期1134-1136,共3页Sichuan Medical Journal

摘　　要：目的探讨沟通性鼻腔肿瘤临床特点和治疗方法。方法 75例患者均行术前CT检查定位诊断。颅鼻沟通性性肿瘤63例,其中内翻性乳头状瘤恶变8例,神经胶质瘤14例,低分化癌15例,嗅母细胞瘤17例,胚胎性横纹肌肉瘤9例。口鼻沟通性肿瘤12例,其中硬腭混合瘤9例,乳头状瘤3例。63例采用颅面联合进路,12例采用Weber-Fergusson进路。结果 75例患者肿瘤全切56例,次全切除12例,部分切除7例,无术中死亡病例。63恶性沟通性肿瘤随访57例,术后1年存活55例,术后2年存活46例,术后3年38例。结论沟通性鼻腔肿瘤分别采用颅面联合联合进路、Weber-Fergusson进路,可充分显露肿瘤,采用带蒂额肌帽状腱膜裂层颅骨瓣修复颅底缺损,效果满意,值得临床推广。Objective To investigate the effect of surgical treatment on patients with nasal communicating tumor.Methods We retrospectively analyzed the data from 75 patients with nasal communicating tumors.All of the patients received surgical treatment.Pathological results showed 63 cases of malignant tumors and 12 cases of benign tumors.Sixty-three patients underwent combined craniofacial approach,and 12 cases underwent Weber-Fergusson approach.Results Total tumor removal was achieved in 56 cases.Subtotal removal was achieved in 12 cases,and partial removal was achieved in 7 cases.There was no death cases among 75 patients.55 patients were survival after 1year,and 46 patients were survival after 2 years.38 patients were still survival after 3 years.Conclusion The chief surgery treatment for nasal communicating tumor is the combined craniofacial approach and Weber-Fergusson approach,which clinic effect is satisfactory and worthy of extending.

关 键 词：沟通性鼻腔肿瘤 外科治疗 

分 类 号：R739.62[医药卫生—肿瘤]