鼻内镜下鼻腔、鼻窦内翻性乳头状瘤手术疗效观察  

The Value of Nasal Endoscopy in the Surgery of Nasal Cavity and Sinus Inverted Papillomas

作　　者：赵勇[1] 石青彦[1] 李河清[1] 

机构地区：[1]焦作煤业集团中央医院,河南焦作454000

出　　处：《中外医学研究》2014年第19期117-119,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：观察研究鼻内镜下行鼻腔、鼻窦内翻性乳头状瘤切除术的治疗效果和可行性。方法：对在笔者所在医院行鼻内镜下鼻腔、鼻窦内翻性乳头状瘤切除术的34例患者的术前评估、治疗过程和术后随访资料进行回顾性分析。结果：其中17例I级、15例Ⅱ级病例行鼻内镜下鼻腔、鼻窦内翻性乳头状瘤切除术,2例Ⅲ级患者行鼻内镜加Caldwell-Luc术。术后随访2～6年,治疗效果良好,复发率低,4例复发,无一例患者发生恶变。结论：鼻内镜下手术是治疗Krouse I～Ⅱ级鼻腔、鼻窦内翻性乳头状瘤的一种可行的方法。鼻内镜下手术优点：手术视野清楚,创伤小,出血较少,低复发率,无面部切口及瘢痕。Objective：To evaluate the curative effect of endoscopic surgery（ESS） in the treatment of nasal cavity and sinuses inverted papilloma. Method：We retrospectively analyzed 34 cases of endoscopic nasal cavity and sinuses inverted papilloma resection in patients with preoperative patient assessment,treatment and postoperative follow-up data.Result：17 cases with gradeⅠand 15 cases with gradeⅡpatients of nasal cavity and sinuses inverted papilloma treated with endoscopic surgery,2 cases of gradeⅢpatients with nasal endoscopy and Caldwell-Luc operation.The operation effect was good,the follow-up 2-6 years, 4 cases of recurrence,and all the patients without malignant transformation.Conclusion：The nasal endoscopy is a better method for treating KrouseⅠ-Ⅱstage nasal inverted papilloma.The advantages of endoscopic surgery include clear visual field,less bleeding,limited reoccurrence,and avoidance of facial incision.

关 键 词：鼻肿瘤 乳头状瘤 鼻内镜术 

分 类 号：R739.62[医药卫生—肿瘤]