15例上颌窦内翻性乳头状瘤处理

Treatment of 15 Maxillary Sinus Nasal Inverted Papilloma

目的比较鼻内镜下上颌窦内内翻性乳头状瘤两种手术方式的疗效,分析各自的优势与不足。方法回顾性分析2000-01～2010-12间,接受手术Krouse分期为III期的15例鼻内翻性乳头状瘤病例。比较鼻内镜下上颌窦内侧壁切除术和下鼻道开窗联合进路术的术后复发率。结果两组术后复发率的比较如下:鼻内镜下,上颌窦内侧壁切除术为14.3%(1/7),下鼻道开窗联合进路术12.5%(1/8)。两种手术径路术后复发率比较,均无统计学差异(P>0.05)。结论两者效果相差不大,倾向于下鼻道开窗联合进路术处理上颌窦内翻性乳头状瘤。

Objective To compare the effect of two approaches under endoscopic resection for sinonasal inverted papilloma（IP） of maxillary sinus and to evaluate the advantages and limitations of both approaches. Methods 15 cases of nasal inverted papilloma （2000 -01 to 2010 - 12, underwent surgery, the Krouse staging Ⅲ） were retrospective analyzed. To compare the recurrerice rate of Resection of the medial wall of the maxillary sinus and infer f or meatus open combined approach after surgery. Results Recurrence rate of two approaches： Resection of the medial wall of the maxillary sinusl4.3% （1/7）, combined approach12.5% （1/8）. Between two surgical approaches after surgery, recurrence rates were not statistically different （p 〉 0. 05 ）. Conclusion The effect of two ap- proaches endoscopic resection of IP inside maxillary sinus was comparable.