经鼻内镜鼻内翻性乳头状瘤切除术远期疗效观察

Efficacy of endscopic surgery for nasal inverted papilloma

目的探讨鼻内镜下切除鼻内翻性乳头状瘤的远期效果。方法回顾性分析1996年1月～1999年12月,经鼻内镜鼻内翻性乳头状瘤手术治疗32例的临床资料,其中超过5年随访的患者29例。结果失访3例未纳入统计。29例患者中行单纯鼻内镜手术24例,鼻内镜加柯-陆氏手术5例。经鼻内镜随访至少5年,平均随访7.4年,治愈26例(89.7%),3例复发(10.3%),其中1例癌变。结论经鼻内镜切除鼻内翻性乳头状瘤,损伤小、恢复快、疗效满意,上颌窦内病变范围广泛者鼻内镜加柯-陆氏径路有利于减少手术复发。

OBJECTIVE To investigate the efficacy of endoscope surgery for nasal inverted papilloma （IP）. METHODS Thirty-two casses of nasal inverted papilloma underwent resection under endoscopy from January 1996 to May 1999. Twenty-nine cases received endoscopic operation only, and five cases endoscopic operation and Caldwell-Luc surgery. 29 patients were fllowed-up more than 5 years. RESULTS Twenty-nine patients were fllowed-up more than 5 years, and 5-year recurrence rate of them was 10.3 % （3/29）. CONCLUSION The nasal endoscopy surgery could be an effective and safe method of heatment for most IPs, but cases with extensive lesion still requre a supplement with the Caldwell-Luc procedure effective and led to decrease recurrence rate.