鼻内翻性乳头状瘤内镜手术治疗

Treatment of nasal papilloma with nasal endoscopic surgery

目的探讨鼻内镜切除鼻内翻性乳头状瘤的手术方式。方法回顾分析13例鼻腔鼻窦内翻性乳头状瘤,男10例,女3例,年龄22～67岁。鼻腔来源3例,上颌窦来源3例,筛窦来源2例,额窦及额隐窝区域来源3例,蝶窦来源2例。全部病例均接受鼻内镜手术。结果 13例患者均在鼻内镜下切除,随访6个月～6年未见复发。有1例患者术中发现部分肿瘤恶变,术后接受放疗,随访3年半未见复发。结论根据鼻内翻性乳头状瘤发生及累及部位选择合适手术径路,采取恰当的手术方式,对于有恶变者采取综合治疗,能够提高治愈率,减少复发。

OBJECTIVE To discuss the endoscopic surgery in the treatment of nasal inverted papilloma. METHODS 13 cases of nasal inverted papilloma were enrolled in this study. The ratio of male to female is 10 to 3. The age range is 22 to 67. Three origin form nasal cavities, 3 from maxillary sinuses, 2 from ethmoid sinuses, 3 from frontal sinuses and frontal recesses, 2 from sphenoid sinuses. RESULTS All 13 cases were resected through endoscopic sinus surgeries, no recurrent cases were found after 6 months to 6 years. 1 case was associated with malignancy and received radiotherapy and no recurrence was found. CONCLUSION Optimal treatment options should be selected depending on the location of origin and associated malignancy.