鼻内镜手术在鼻咽部占位性病变治疗中的应用  

Endonasal endoscopic surgery in treatment for nasopharyngeal lesions

作　　者：樊建刚[1] 李静娴[1] 古庆家[1] 李德炳[1] 赵李冰[1] 何刚[1] 

机构地区：[1]四川省医学科学院.四川省人民医院耳鼻咽喉头颈外科,成都610072

出　　处：《肿瘤预防与治疗》2016年第4期210-213,共4页Journal of Cancer Control And Treatment

基　　金：四川省卫计委资助项目(编号150230)

摘　　要：目的:探讨鼻内镜下手术治疗鼻咽部占位性病变的适应症、方法及效果。方法:回顾性分析及总结经鼻内镜手术治疗的22例鼻咽部良恶性占位性病变的临床资料、治疗过程及术后效果。结果:22例患者中有9例良性病变,13例恶性病变;1例鼻咽纤维血管瘤患者术后复发,经再次手术后治愈;1例鼻咽部良性淋巴组织增生症患者术后进行心理治疗;1例放线菌病患者术后进行长期抗菌治疗;1例恶性淋巴瘤患者术后未能确诊,随访18月后再次活检确诊,未进行后续治疗;1例横纹肌肉瘤患者术后3月失访;1例恶性黑色素瘤患者术后复发,继续在肿瘤科治疗。结论:对于鼻咽纤维血管瘤及以复发性鼻咽癌等恶性肿瘤,可在鼻内镜下按解剖标志逐步暴露病变边界,彻底切除肿瘤并修复缺损创面。Objective： To explore the clinical indication,method and effect of endonasal endoscopic surgery for nasopharyngeal lesions. Methods： The clinical data of 22 nasopharyngeal lesion patients underwent endonasal endoscopic surgery were analyzed retrospectively. Results： 9 benign and 13 malignant cases were included,1 recurrent nasopharyngeal fiber hemangioma case,curved after another operation; 1 benign lymphoid hyperplasia case had psychotherapy after surgery,1 actinomycosis infected patient need long term antibacterial treatment postoperatively,1 malignant lymphoma case was failed to be diagnosed after operation,but had definitive diagnosis when followed-up at 18 months by biopsy and had no subsequent treatment; 1 leiomyosarcoma patient failed follow-up 3 months after surgery,1 case continued therapy for malignant melanoma recurrence. Conclusion： Malignant tumors such as nasopharyngeal fiber hemangioma and recurrent nasapharyngeal carcinoma could be completely resected and restored with endonasal endoscopic surgery,by gradually expose the lesion boundary according to the anatomic structure and protect important structures.

关 键 词：鼻咽部 鼻内镜手术 鼻咽部切除术 肿瘤 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]