鼻腔(窦)内翻性乳头状瘤的鼻内窥镜手术治疗

Endoscopic surgery in the treatment of nasal cavity and maxillary sinus inverted papilloma

目的 探讨鼻内窥镜手术在鼻腔、鼻窦内翻性乳头状瘤中的应用。方法 对５例行鼻内窥镜手术的鼻腔鼻窦内翻性乳头状瘤的临床资料作回顾性分析。结果 鼻内窥镜下行鼻腔及鼻窦内翻性乳头状瘤切除、鼻腔外侧壁部分或大部分切除、清除窦内病变粘膜。５例患者术后０．５～２年随访，仅１例复发。结论 鼻内窥镜手术可较好地完成鼻腔、鼻窦内肿瘤切除，创伤轻微、视野请晰、易请除病变，保留正常功能，患者易于接受。

Objective To evaluate endoscopic surgery in the treatment of nasal cavity and maxillary sinus inverted papilloma. Methods The data of 5 cases of nasal cavity and maxillary sinas inverted papilloma operated with endoscope were analyzed retrospectively. Results The inverted papilloma, lateral wall of nasal cavity and invaded mucosa were resected under the nasal endoscope. The results with 0.5~2 years follow-up were cured in 4, recurrent in 1. Conclusion Endoscopic surgery can effectively resect the tumors of nasal cavity and maxillary sinus. With the advantage of less injure, clear field and retained function, it is easy to accept for patient.