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鼻内镜下手术治疗鼻腔及鼻窦内翻性乳头状瘤 被引量:10

Endoscopic surgery to treat inverting papilloma in nasal cavity and paranasal sinuses
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摘要 目的探讨鼻内镜下鼻腔及鼻窦内翻性乳头状瘤切除术的治疗效果及其复发的防治。方法16例鼻腔及鼻窦内翻性乳头状瘤患者实施鼻内镜手术,术中、术后局部用抗肿瘤药5-氟脲嘧啶(5-Fu)冲洗及贴敷。结果16例病人随访8个月 ̄42个月,1例术后30个月复发,其他15例未见复发,全部病例无并发症出现。结论鼻内镜下手术治疗鼻腔及鼻窦内翻性乳头状瘤具有效果好、复发率低、面部不留瘢痕等优点。 OBJECTIVE To evaluate the therapeutic and recurrence preventive effect of intranasal endoscopic surgery on inverted papilloma of the nasal cavity and paranasal sinuses. METHODS 16 patients (11 males and 5 females, ranging from 15 to 67 years old) with inverting papilloma of nasal cavity and paranasal sinuses were treated by intronasal endscopic surgery 5-Fu was injected at the operating sites simultaneously. RESULTS Patients were followed up for 8 ̄42 months. Only one case recurred in 30th month after surgery. The other cases had no recurrences in the follow-up period. CONCLUSION Endoscopic sugery is an effective treat- ment for inverting papilloma in nasal cavity and paranasl sinuses. Especially it cause much less cosmetic side effects, and could achieve a very lower recurrence rate. [
出处 《中国耳鼻咽喉头颈外科》 2004年第6期367-368,共2页 Chinese Archives of Otolaryngology-Head and Neck Surgery
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参考文献6

  • 1黄选兆,汪吉宝.实用耳鼻咽喉科学.第1版.北京:人民卫生出版社,1 999;269-270.
  • 2Krouse JH. Development of a staging system for interved papilloma. Laryngoscope.2000; 110: 965-968.
  • 3Phillips PP, Gustafson RO, Facer GW. The clinical behavior of inverting papilloma of the nose and paranasal sinuses: report of 112 cases and review of the literature. Laryngoscope. 1990;100: 463-469.
  • 4Waitz G, Wigand ME. Results of endoscopic sinus surgery for the treatment of inverted papillomas. Laryngoscope. 1992; 102:917-922.
  • 5许庚,李源,史剑波,张开文,唐协武,陈叶棠,黄志忠,王继群.经鼻内窥镜鼻腔鼻窦内翻性乳头状瘤切除术[J].中华耳鼻咽喉科杂志,1996,31(4):237-239. 被引量:124
  • 6Kamel RH. Conservative endoscopic surgery in inverted papilloma:preliminary report. Arch Otolaryngol Head Neck Surg. 1992;118: 649-653.

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