鼻咽纤维血管瘤的诊疗进展(综述)

Advance in diagnosis and treatment of Nasopharynx Angiofibroma

鼻咽纤维血管瘤是一种好发于16—25岁青年男性，含有丰富血管的良性肿瘤。因其在局部有沿孔道生长的恶性生长方式，侵犯周围组织能力较强，可致严重并发症。且具有肿瘤解剖位置深，易出血及复发率高的特点。随着影像检查方法的进步，肿瘤的起源及生长路线逐渐清晰，加之鼻内镜技术的应用和术者临床经验的提高，使得特定的解剖区域更易暴露，治疗后复发率下降。目前该病仍以手术治疗为主，手术难度大，术中出血量多，易残留复发。故术前、术中采取减少出血的措施及选择合适的手术方式就显得尤为重要。本文就鼻咽部纤维血管瘤近年来的诊疗研究进展及鼻内镜下手术切除肿瘤的应用技术等相关问题进行综述。

Nasopharynx Angiofibroma is an innocent tumor which contains rich vascular and is likely to attack male youth aged 16-25. Nasopharynx Angiofibroma may lead to serious complications because it grows along the pore on the local scale and may infiltrate adjacent structures grievously. Its anatomic site is deep and easy to bleed, and it has a high recurrence rate. As the development of imaging method, one can observe the tumor origin and growth route more clearly. Together with the application of messerklinger technology and the improvement of operators＇ experience, specific anatomical region is more likely to be exposed and thus the recurrence rate decreases.Now the cure of Nasopharynx Angiofibroma give priority to surgical treatment. The surgery is difficult and easy to lead to bleeding and recurrence. It is particularly important to apply measures to reduce bleeding during surgery and choose the right surgical procedures. This paper illustrates the advance in diagnosis and treatment of Nasopharynx Angiofibroma in recent years and the application of nasal endoscopic surgery to remove the tumor.