DrafⅡb型手术治疗额窦内翻性乳头状瘤疗效分析  

A study on the prognosis of DrafⅡb surgery in treating fontal sinus inverted papilloma

作　　者：彭芮[1] 黄谦[1] 梁娜[1] 崔顺九[1] 黄振校[1] 李云川[1] 周兵[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第16期1423-1427,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：北京市卫生系统高层次人才专项经费资助(No:2009-3-36)

摘　　要：目的:探讨DrafⅡb型手术治疗额窦内翻性乳头状瘤(NIP)的疗效。方法:回归性分析15例行DrafⅡb型手术治疗的额窦NIP患者的临床资料,采用生存分析法计算临床成功率和手术成功率。结果:15例患者中肿瘤复发1例(6.67%),额窦口狭窄1例(6.67%),额窦口闭锁4例(26.67%),并发额窦黏液囊肿1例(6.67%)。DrafⅡb型手术治疗额窦NIP的3年临床成功率为93.3%,3年手术成功率为65.0%。结论:对于累及瞳孔中线以内范围的额窦NIP均可考虑采用DrafⅡb术式,该术式的常见并发症为术后额窦口狭窄或闭锁,建议术后1年内密切随访。降低并发症的措施有待进一步探究。Objective：To evaluate the prognosis of Draf Ⅱb surgery in treating fontal sinus inverted papilloma. Method..A retrospective study was carried out among 15 patients diagnosed as fontal sinus inverted papilloma, which had underwent endoscopic Draf Ⅱb surgery. The clinical success rate and surgical success rate were calculat- ed by survival analysis. Result：In all patients, there were 1 （6.67%） recurrence, 1 （6.67% ） stenosis, 4 （26.67）% complete closure , and 1 （6.67%） mucocele cyst. The 3- year clinical success rate was 93.3%, and the 3--year surgical success rate was 65.0%. Conclusion： Draf Ⅱb surgery is feasible when the frontal sinus inverted papilloma is involved in the area of the pupil center line, and the frontal neo-ostium stenosis or complete closure is a common complication after surgery. Thus a close follow-up is recommended during the first year after the surgery. Further study is necessary to find a better way to reduce the complication rate.

关 键 词：乳头状瘤 内翻 额窦 内镜检查 

分 类 号：R739.62[医药卫生—肿瘤]