253例原发鼻中隔肿块的临床分析

Clinical analysis of the primary nasal septum mass in 253 cases

目的:探讨鼻中隔肿块的临床诊断与治疗。方法:对1983年3月-2007年8月收治的253例原发于鼻中隔的肿块患者的临床资料进行回顾性分析。结果:253例鼻中隔肿块中,良性肿瘤219例,恶性肿瘤34例;良性肿瘤采用鼻内/鼻侧径路,随访6个月～12年(平均72个月),173例无复发和恶性变,12例复发再次手术,9例死于其他疾病,25例失访。恶性肿瘤采用鼻内/鼻侧径路加放/化疗,随访12个月～15年3个月,6例于术后2年～6年7个月因复发或转移而死亡;余28例生存,未见肿瘤复发。结论:对于原发于鼻中隔的良性肿瘤以手术切除为主,关键是一次性彻底切除,而恶性肿瘤应采取综合治疗,术后应进行定期随访。

Objective：To study the methods of the surgical treatment for the nasal septum mass. Method：Two hundred and fifty-three cases of nasal septum mass were treated by surgery in our department from march 1983 to august 2007. Their clinical data were retrospectively analyzed. Result： After follow-up, most cases had no postoperative recurrence of nasal obstruction and epistaxis. Conclusion：If the diagnosis was confirmed, the effect of the surgical treatment for the nasal septum benign tumor is satisfactory. Follow-up should be done in cases with malignant tendency and malignant tumors.