鼻内镜下切除鼻腔鼻窦内翻性乳头状瘤36例报告

Resection of nasal inverted papilloma under nasal endoscope (a report of 36 cases)

目的探讨鼻内镜下切除鼻腔鼻窦内翻性乳头状瘤的可行性.方法回顾分析36例鼻腔鼻窦内翻性乳头状瘤经鼻内镜下切除,包括术前病情评估,术后随访.结果随访2～7年,2例复发,无恶变病例.结论术前鼻内镜、CT、MRI检查,可以确定病变范围,根据病变范围决定手术方式,经鼻内镜可以彻底切除Ⅰ、Ⅱ、Ⅲ期病变;Ⅳ期病变仍需行传统鼻侧切开.

Objective To evaluate the feasibility of nasal inverted papilloma resection under nasal endosoope. Methods The clinical data of 36 patients with nasal inverted papilloma were retrospectivdy analyzed. Results All patients were treated with inverted papilloma resection under nasal endoscope, and were followed up for 2 to 7 years after surgery. Only two cases relapsed. Conclusion Resection of nasal inverted papilloma under nasal endoscope is a very good approach to the treatment of this tumor, especially for those at stage Ⅰ, Ⅱ and Ⅲ.