经鼻内镜低温等离子辅助下鼻咽纤维血管瘤切除术及疗效分析  

Coblation-assisted endoscopic excision of juvenile nasopharyngeal angiofibroma and outcomes

作　　者：陈枫虹 刘文冬 陈靖媛 陈楚欣 郭圆媛 史剑波[2] CHEN Fenghong;LIU Wendong;CHEN Jingyuan;CHEN Chuxin;GUO Yuanyuan;SHI Jianbo(Department of Otolaryngology,the Second Affiliated Hospital of Guangzhou Medical University,Guangdong Provincial Key Laboratory of Allergy and Immunity,Guangzhou,510260,China;Otorhinolaryngology Hospital,Otorhinolaryngology Institute,the First Affiliated Hospital of Sun Yat-sen University;Department of Otorhinolaryngology Head and Neck Surgery,the Third Affiliated Hospital of Sun Yat-sen University;Department of Otorhinolaryngology Head and Neck Surgery,the Seventh Affiliated Hospital of Sun Yat-sen University)

机构地区：[1]广州医科大学附属第二医院耳鼻咽喉科,广东省过敏反应与免疫重点实验室,广州510260 [2]中山大学附属第一医院耳鼻咽喉科医院,中山大学耳鼻咽喉科学研究所 [3]中山大学附属第三医院耳鼻咽喉头颈外科 [4]中山大学附属第七医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第6期508-513,共6页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然基金面上项目(No:82271135)。

摘　　要：目的总结AndrewⅠ~Ⅲ期鼻咽纤维血管瘤的手术方法和疗效。方法收集2016年1月-2021年12月手术的鼻咽纤维血管瘤患者12例,Ⅰ期1例,Ⅱ期3例,Ⅲ期8例。采用单独经鼻内镜,或联合经口或柯陆氏入路鼻咽纤维血管瘤切除术。结果手术未出现严重并发症。术中中位数出血量为200 mL,1例输血。中位数手术时间为110 min。中位数随访时间3年。11例完整切除,术后无复发,1例残留,行二次手术,未再复发残留。结论通过建立标准化的手术步骤,借助内镜和低温等离子技术,AndrewⅠ~Ⅲ期的鼻咽纤维血管瘤基本可达到快速、安全、完整切除。Objective To summarize the procedures and efficacy of surgical treatment for Andrew stageⅠ-Ⅲjuvenile nasopharyngeal angiofibroma(JNA).Methods A total of 12 patients with JNA who underwent surgery from 2016 to 2021 were enrolled,including 1 case in stageⅠ,3 cases in stageⅡ,and 8 cases in stageⅢ.JNA was resected by transnasal endoscopic approach alone,or combined with transoral approach or Caldwell-Luc approach was performed.Results Eleven cases underwent complete resection without recurrence and 1 case had residual tumor.There were no serious complications.The median intraoperative blood loss was 200 mL,and 1 patient received blood transfusion.The median operative time was 110 minutes.Conclusion JNA in Andrew stageⅠ-Ⅲcan be quickly and completely resected by standardized surgical procedures using endoscopy and coblation technology.

关 键 词：鼻咽纤维血管瘤 鼻内镜 手术 低温等离子 疗效 

分 类 号：R739.63[医药卫生—肿瘤]