不同手术方式治疗鼻腔鼻窦内翻性乳头状瘤的临床疗效

Clinical Effect of Different Surgical Methods in Treatment of Inverted Papilloma of Nasal Cavity and Paranasal Sinus

目的不同手术方式对鼻腔鼻窦内翻性乳头状瘤的治疗效果。方法随机选取我院的81例腔鼻窦内翻性乳头状瘤(NIP)患者,随机分为鼻内镜单纯组(27例),鼻内镜和柯路式进路联合组(27例),传统组(27例),比较三组患者的临床治疗效果。结果①传统组与联合组比较,联合组患者的手术时间,术中出血量以及住院时间皆明显减少;传统组与单纯组比较,单纯组的术中出血量和住院时间都明显降低;单纯组与联合组比较,联合组的手术时间和住院时间显著低于单纯组(P<0.05);②单纯组和联合组的术后并发症发生率显著低于传统组(P<0.05);③传统组的术后复发率显著高于其他两组(P<0.05)。结论鼻内镜和鼻外入路联合手术方式治鼻腔鼻窦内翻性乳头状瘤的各项临床指标较其他两组效果显著,值得医院推广和应用。

Objective To evaluate curative effect of different surgical methods on inverted papilloma of nasal cavity and paranasal sinus. Methods Choose 81 cases inverted papilloma of nasal cavity and sinus(NIP) patients, divide them into three groups randomly: simple nasal endoscopy group(27 cases), combined nasal endoscopy and collux approach group(27 cases) and traditional group(27 cases). Compare clinical treatment effect of three groups. Results ① compared with combined group, operation time, intraoperative bleeding volume and hospital stay of combined group was significantly shorter;compared with traditional group and simple group, intraoperative bleeding volume and hospital stay of simple group was significantly shorter;compared with simple group and combined group, operation time, hospital stay of combined group was significantly shorter than simple group(P<0.05);② postoperative complications incidence in traditional group was significantly lower than traditional group(P<0.05). ③ recurrence rate of traditional group was significantly higher than other two groups(P< 0.05). Conclusion Clinical indexes of endoscopic and extranasal approach has better effect than other two groups in treatment of inverted papilloma of nasal cavity and paranasal sinuses, which is worthy of promotion and application in hospitals.