内镜或内镜辅助下切除鼻腔鼻窦恶性肿瘤的疗效观察  

Effect of Endoscopic Resection or Endoscope Assisted Resection for the Treatment of Nasal-Sinus Malignant Tumors

作　　者：彭峰[1] 陈振清[1] 符士楠[1] 吴润坤[1] PENG Feng CHEN Zhenqing FU Shinan WU Runkun(Zhaoqing First People ＇s Hospital, Zhaoqing 526020, Chin)

机构地区：[1]肇庆市第一人民医院,广东肇庆526020

出　　处：《临床医学工程》2016年第12期1579-1580,共2页Clinical Medicine & Engineering

摘　　要：目的观察内镜或内镜辅助下切除鼻腔鼻窦恶性肿瘤的疗效。方法选择采用内镜或内镜辅助治疗的26例鼻腔鼻窦恶性肿瘤患者,以及采用开放手术治疗的21例鼻腔鼻窦恶性肿瘤患者为研究对象,比较两组的手术出血量、手术耗时、平均住院天数及住院费用,比较两组的并发症发生率、复发率和生存率。结果鼻内镜组患者的手术出血量、手术耗时、平均住院天数及住院费用均显著少于开放手术组(P<0.05)。鼻内镜组患者的并发症发生率为15.4%,显著低于开放手术组的42.9%(P<0.05)。随访50个月结束时,鼻内镜组的生存率显著高于开放手术组,复发率和转移率显著低于开放手术组(P<0.05)。结论内镜或内镜辅助下切除鼻腔鼻窦恶性肿瘤的效果显著,具有出血少、耗时短、恢复快、并发症少的优点,值得临床应用及推广。Objective To observe the effect of endoscopic resection or endoscope assisted resection for the treatment of nasal-sinus malignant tumors. Methods 26 cases of patients with nasal-sinus malignant tumors who received endoscopic resection or endoscope assisted resection, and 21 cases of patients with sino-nasal malignant tumors who received open surgery were selected as research objects. The intraoperative blood loss, operation time, average length of hospital stay and hospitalization cost were observed and compared. The incidence of complications, recurrence rate and survival rate were compared. Results The intraoperative blood loss of endoscope group was significantly less than that of open surgery group, the operation time and average length of hospital stay were significantly shorter than those of open surgery group, and the hospitalization cost was lower than that of open surgery group （P 〈0.05）. The incidence of complications of endoscope group was 15.4%, significantly lower than 42.9% of open surgery group （P 〈0.05）. At the end of 50 months＇ follow-up, the survival rate of endoscope group was significantly higher than that of open surgery group, and the recurrence rate and metastasis rate were significantly lower than those of open surgery group （P〈0.05）. Conclusions Endoscopic resection or endoscope assisted resection for the treatment of nasal-sinus malignant tumors has significant efficacy, with the advantages of less blood .loss, shorter operation time, faster recovery and fewer complications, which is worthy of clinical application and promotion.

关 键 词：内镜辅助 鼻腔鼻窦恶性肿瘤 开放手术 疗效 

分 类 号：R739.6[医药卫生—肿瘤]