鼻内镜下切除鼻内翻性乳头状瘤25例分析  

Endoscopic resection of nasal inverted papilloma: an analysis of 25 cases

作　　者：包燕东[1] 顾玲[1] 陈文明[1] BAO Yan-dong;GU Ling;CHEN Wen-ming(Department of Otorhinolaryngology, Wujin People's Hospital Affiliated to Jiangsu University,Changzhou 213002,China)

机构地区：[1]江苏大学附属武进人民医院耳鼻咽喉科

出　　处：《中国实用医药》2019年第22期24-25,共2页China Practical Medicine

摘　　要：目的探讨鼻内镜下切除鼻内翻性乳头状瘤的治疗效果,分析影响预后的因素。方法回顾性分析25例行鼻内镜下切除鼻内翻性乳头状瘤患者的临床资料,术后定期随访,观察患者术后恢复情况及复发情况。结果 25例患者均一次性手术成功,手术时间30~120 min、平均手术时间(60±24)min,术中出血量50~300 ml、平均术中出血量(100.0±30.4)ml。其中有3例复发,复发率为12%,已再次手术,目前仍在随访中,无恶变及死亡病例。结论鼻内镜下切除鼻内翻性乳头状瘤是一种安全并且有效的方法,肿瘤的原发部位及切除不彻底是引起术后复发的主要因素。Objective To discuss the treatment effect of endoscopic sinus surgery for nasal inverted papilloma and analyze the prognostic factors. Methods The clinical data of 25 patients undergoing endoscopic resection of nasal inverted papilloma were retrospectively analyzed. The patients were followed up regularly after operation to observe the recovery and recurrence of the patients. Results All 25 patients were operated successfully at a time, with operation time as 30-120 min, average operation time as(60±24) min, inatraoperative hemorrhage volume as 50~300 ml and average inatraoperative hemorrhage volume as(100.0±30.4) ml. Among them, 3 cases had recurrence, with recurrence rate as 12%. They had been operated again and were still under follow-up. No malignant change or death occurred. Conclusion Endoscopic resection of nasal inverted papilloma is a safe and effective method. The primary site of the tumor and incomplete resection are the main factors causing recurrence.

关 键 词：鼻腔鼻窦 内翻性乳头状瘤 鼻内镜 手术 复发 

分 类 号：R739.62[医药卫生—肿瘤]