鼻内镜下鼻咽纤维血管瘤切除术的临床分析  

Nasal endoscopic resection of nasopharyngeal angiofibroma

作　　者：陈泽[1] 梁敏志[1] 钟兆棠[1] 

机构地区：[1]高州市人民医院耳鼻咽喉科,广东高州525200

出　　处：《中国耳鼻咽喉颅底外科杂志》2015年第2期135-139,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨鼻内镜下鼻咽纤维血管瘤（nasopharyngeal angiofibroma，NA）切除术的手术方法及技巧。方法回顾临床资料完整的31例（其中19例侵犯颅底）鼻咽纤维血管瘤（fisch分期，Ⅱ期22例，Ⅲ期6例，Ⅳ期3例），均在鼻内镜下经鼻行肿瘤切除术，并结合相关文献进行分析。结果31例患者皆通过鼻内镜下肿瘤切除术治疗，术前均未行动脉血管栓塞，并获得一次性完整切除，术后随访11—60个月，除1例Ⅲ期NA患者术后2年复发外，其余患者均未发现肿物残留及复发。结论对于鼻咽纤维血管瘤，即使侵犯颅底，鼻内镜下切除术是相对微创可行的手术选择。Objective To explore the surgical approach and technique of nasal endoscopic resection of nasopharyngeal angiof/broma（NA）. Methods Clinical data of 31 cases suffering from NA were analyzed retrospectively. Of them, skull base erosion occurred in 19 cases. As for the Fisch＇ s stage, the case number of stage Ⅱ , Ⅲ and IV was 22, 6 and 3 respectively. The surgical method and technique of nasal endoscopic procedure for resection of NA was summarized with literature review. Results Without preoperative arterial embolization, NA got completely resected in all 31 cases with nasal endoscopic procedure. During postoperative follow up of 11 to 60 months, neither residue nor recurrence occurred except in one case of stage Ⅲ 2 years after surgery. Conclusion For nasopharyngeal angiofibroma, even with skull base erosion, nasal endoscopic resection is a relative minimal invasive and feasible option.

关 键 词：鼻咽纤维血管瘤 鼻内镜 颅底 外科手术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]