鼻内镜下鼻腔鼻窦内翻性乳头状瘤切除术临床分析

Clinical analysis of resection of endoscopic sinonasal inverted papilloma

目的探讨鼻内镜下鼻腔鼻窦内翻性乳头状瘤切除术的方法及效果。方法回顾分析65例患者的临床资料。结果本组65例患者均完整切除肿瘤,症状消失,术后无明显并发症发生。本组患者术后经病理诊断均为内翻性乳头状瘤。于术后6个月内按鼻内镜常规要求换药,并定期复查。全部患者随访1~4年,其中6例在随访期第3年复发,均为侵犯上颌窦肿瘤,再次手术后未有复发。2例在第4年复发,手术切除病理报告为肿瘤恶变,行鼻侧切开术切除肿瘤,术后配合放疗,目前患者状况较好。结论鼻内镜下切除肿瘤创伤小,并发症少,可同时处理鼻腔及鼻窦的其他病变,术后随访简单易行。单纯采用鼻内镜手术时,要选择好适合病例,对病变范围广泛,手术难度大,鼻内镜下联合其他方法治疗是较好的选择。

Objective To evaluate the method and effect of endoscopic sinonasal inverted papilloma.Methods Retrospective analysis of clinical data of 65 patients.Results Totally 65 patients were complete tumor resection,the symptoms disappeared,no significant postoperative complications occurred.Patients in this group were diagnosed by pathology inverted papilloma.Within 6 months after surgery by endoscopic dressing routine requirements and regularly review.All patients were followed up for 1~4year,of which 6 cases were followed up for recurrence of the first 3 years,are violations of the maxillary sinus tumor,no recurrence after surgery again.2 cases of recurrence in the first 4 years,surgical resection of malignant tumor pathology,line the nasal incision to remove the tumor,postoperative radiotherapy,the current status of patients better.Conclusions Endoscopic resection trauma,fewer complications,can handle the nasal cavity and paranasal sinuses and other lesions were followed up easy.Only using the endoscopic sinus surgery,for patients to choose a good,broad range of disease,surgery is difficult,endoscopic treatment combined with other methods is a better choice.