鼻内镜联合柯陆氏手术治疗鼻腔鼻窦内翻性乳头状瘤

Nasoendoscopy combined with Caldwell-Luc surgery in treating inverted papilloma in nasal cavities and paranasal sinuses

目的探讨鼻内镜联合柯陆氏手术治疗鼻腔鼻窦内翻性乳头状瘤(NIP)的临床疗效。方法对24例行鼻内镜联合柯陆氏手术治疗鼻腔鼻窦内翻性乳头状瘤患者资料进行回顾性分析。结果24例患者中,治愈22例,2例复发。对于复发者再次在内镜下治疗,并对复发部位采用电刀烧灼,无恶变病例出现。结论鼻内镜联合柯陆氏手术治疗鼻腔鼻窦内翻性乳头瘤是一种安全有效的治疗方法,在临床上具有推广价值。

[ Objective ] To evaluate the therapeutic effect of endoscopic and Caldwell-Luc surgery on inverted papilloma of the nasal cavities and paranasal sinuses （NIP）. [ Method ] The clinical data of 24 cases with inverted papilloma in the nasal cavities and paranasal sinuses were analyzed retrospectively. All patients were treated by nasoendoscopie and Caldwell-Lue surgery. [Result] In all the patients inverted papillomas were removed completely and no serious complications occurred. Patients were followed up for 2-4 years. Two eases recurred. The remaining cases had no recurrences in the follow-up period. The relapsed cases were treated by endoscopic surgery again and combined with shaver system. No malignant change occurred in the following up period. [ Conclusion] Combined endoscopic and Caldwell-Luc surgery is a safe and effective therapeutic method in treating inverted papilloma in nasal cavities and paranasal sinuses.