鼻内窥镜下治疗鼻内翻性乳头状瘤的疗效分析

Analysis of the efficacy of endoscopic in the treatment of nasal inverted papilloma

目的 评价采用鼻内窥镜治疗鼻内翻性乳头状瘤的临床疗效.方法 选择鼻内翻性乳头状瘤患者38例,采用简单随机法分为观察组20例和对照组18例,对照组采用开放手术方式,观察组则采用鼻内窥镜手术方式.观察并比较两组手术一般情况及术后复发情况.结果 观察组手术时间、术中出血量及住院天数等优于对照组,差异均有统计学意义（t =0.79、1.21、0.92,均P＜0.05）.两组患者各期复发率和总复发率差异无统计学意义（均P＞0.05）.结论 鼻内窥镜治疗鼻内翻性乳头状瘤对患者创伤小,各期的复发情况和复发时间也没有明显差异.

Objective To analyze the efficacy of endoscopic in the treatment of nasal inverted papilloma.Methods 38 cases with nasal inverted papilloma were selected and randomly divided into the experimental group （20 patients） and control group（18 patients）.The control group was treated with open surgical approach,while the experimental group was given endoscopic surgery.The surgical effect and postoperative recurrence were observed and compared between the two groups.Results The operation time,blood loss and length of hospital stay in experimental group were superior to the control group,the differences were statistically significant （t =0.79,1.21,0.92,all P 〈 0.05）.Postoperative recurrence rate had no significant difference between the two groups （P 〉 0.05）.Conclusion Endoscopic treatment of nasal inverted papilloma has less trauma,and the recurrence is less than open surgery.