鼻咽血管纤维瘤手术进路分析(附46例报告)  

The Analysis of Operative Approaches in Nasopharyngeal Angiofibroma with 46 Cases Report

作　　者：李添应[1] 陈靖[1] 孟庆翔[1] 邱前辉[1] 文卫平[1] 

机构地区：[1]中山大学附属第一医院耳鼻咽喉科,广东广州510080

出　　处：《中山大学学报（医学科学版）》2004年第1期74-76,共3页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：广东省科委重点攻关基金资助(99M04901G)

摘　　要：[目的]总结46例鼻咽血管纤维瘤手术所采用的各种进路,以提高治疗水平。[方法]用各种手术进路切除鼻咽血管纤维瘤46例,其中经腭进路28例,鼻侧切开进路12例,改良Biller’s切口联合腭进路1例,颅而联合进路2例,鼻内窥镜进路3例。[结果]46例鼻咽血管纤维瘤均顺利切除。平均出血量712 mL,复发7例。[结论]根据肿瘤的大小及范围,采用合适的手术进路,能充分暴露肿瘤,有利于手术操作,缩短手术时间,减少术后复发。[Objective] Various operative approaches were summarized in 46 cases in order to improve the treatment of nasopharyngeal angiofibroma. [Methods] Nasopharyngeal angiofibroma were removed by several approaches in 46 cases, including transpalatal (28 cases), nasolateral (12 cases), modified Biller' s incision combined with transpalatal (1 case), craniofacial combination (2 cases) and rhinal endoscopy (3 cases). [Results]All the cases were operated without difficulty. The bleeding volume was 712 mL in average. [Conclusion]7 cases relapsed. Based on the size and scope of nasopharyngeal angiofibroma, suitable approach can make the tumor exposed clearly, shorten the operation time and reduce the recurrence of tumor.

关 键 词：鼻咽血管纤维瘤 手术 鼻咽肿瘤 鼻内窥镜 

分 类 号：R739.6[医药卫生—肿瘤]