鼻内镜下鼻咽部扩大鼻咽肿瘤切除术

Wider tumor excision in nasopharyngeal area under endoscope.

目的探讨鼻内镜下鼻咽部扩大鼻咽肿瘤切除的手术方法.方法对9名于1998～2002年因鼻咽部肿瘤在我科行鼻内镜下鼻咽部扩大鼻咽肿瘤切除术的患者资料进行回顾性研究,对其手术方式、适应证、手术并发症等进行探讨.结果 9名患者(纤维血管瘤5人,囊性腺癌1人,鳞癌1人,血管外皮瘤1人, 恶性淋巴瘤1人)均手术顺利,肿瘤清除彻底,无副损伤,恶性肿瘤术后行综合治疗,随访2～5年,未见鼻咽部肿瘤复发.结论对适当范围的鼻咽部肿瘤,采用内镜下鼻咽部扩大鼻咽肿瘤切除的手术方法,不仅扩大了手术视野,有利于肿瘤暴露切除止血,而且副损伤小,面部不留疤痕.

Objective To explore the operation method of wider tumor excision in nasopharyngeal area under endoscope. Methods From 1998 to 2002,9 cases suffered nasopharyngeal tumors received wider tumor excision under endoscope in our department. By retrospective study, the present report investigated the operation method, operative indications and complications. Results All the tumors in the 9 cases, including five of fibrohemangioma, one cystoid adenocarcinoma, one squamous carcinoma, one hemangiopericytoma, and one malignant lymphoma, were successfully and widely exsected without more additional damage to normal tissue. After operation, the combined treatments to above relevant tumors were given and no recurrence was found in following - up periods of 2 to 5 years. Conclusion To the nasopharyngeal tumors in suitable location limits, the advantages of performing the wider excision with endoscope are not only widening the operation field of vision, facilitating tumor exposure, excision and hemostasis, but also decreasing additional damage and not leaving facial scar.