鼻腔鼻窦内翻性乳头状瘤的外科治疗

Surgical treatment for the inverted papilloma of the nasal cavity and paranasal sinuses

目的 :总结鼻腔鼻窦内翻性乳头状瘤外科治疗经验。方法 :收集自 1976年 2月至 1997年 10月间行外科治疗的 2 6例鼻腔鼻窦内翻性乳头状瘤的临床资料并进行回顾性分析。结果 :2 6例鼻腔鼻窦乳头状瘤中 8例有癌变 ,癌变率为 30 .8%。均行外科治疗。随访 2～ 5年局部复发 5例 ,其中 3例死亡 (均为乳头状瘤合并有癌变者 )。局部复发率为 19.2 % (5 / 2 6 )。结论 :术中连同上颌骨内壁切除及筛窦整块切除是治疗该病的最佳方法 ,内窥镜鼻窦切除术适用于局限性病变。

Objective: The experience of the surgical treatment for inverted papilloma of the nasal cavity and paranasal sinuses was summarized. Methods: Twenty\|six patients with inverted papilloma of the nasal cavity and paranaal sinuses were treated by sugery and the clinical data was analyzed retrospectively from February 1976 to October 1997. There were 18 males and 8 females, ranging in age from 37 to 69 years old. Results: Eight of the twenty six cases with papilloma also suffered from canceration and the canceration rate was 30 8%. All of those patients were treated by surgery. The local recurrence occurred in 5 cases, 3 of them died who was papilloma with canceration. The total recurrence rate was 19 2% (5/26) and 2 cases died in the period of following up 1 to 2 years. Conclusion: The medial maxillectomy and an en bloc ethmoidectomy is best selection and the endoscopic sinus surgery should be used in the limited lesions.