鼻内镜下联合低温等离子刀切除鼻腔鼻窦内翻性乳头状瘤37例

Thirty-seven cases of inverted papillomas in the nasal cavity and the nasal sinus treated by low-temperature plasma under nasal endoscope

目的回顾性分析鼻腔鼻窦内翻性乳头状瘤的临床特点,探讨鼻内镜下联合低温等离子刀切除鼻腔鼻窦内翻性乳头状瘤的可行性。方法在鼻内镜下使用低温等离子刀切除37例鼻腔鼻窦内翻性乳头状瘤,根据Krouse分级标准:T1期8例,T2期18例,T3期11例。术后鼻内镜下随访4~10年。结果 37例均在鼻内镜下成功使用低温等离子刀切除肿瘤,3例术后复发,再次手术未复发。结论鼻内镜下联合低温等离子刀切除T1-T3期鼻腔鼻窦内翻性乳头状瘤安全、微创,术后复发率低。

Objective To summarize the clinical characteristics of inverted papillomas in the nasal cavity and the nasal sinus in stage and evaluate the therapeutic feasibility of low-temperature plasma under nasal endoscopy. Methods Thirty-seven patients with inverted papillomas in the nasal cavity and the nasal sinus were treated with low-temperature plasma under nasal endoscopy. According to the staging system developed by Krouse, 8 cases were of the T1 stage, 18 cases were of the T2 stage, and 11 cases were of the T3 stage. Postoperative nasal endoscopy was performed for 4-10 years. Results The thirty-seven cases of inverted papilloma in the nasal cavity and nasal sinus were removed completely. Postoperative recurrence was observed in 3 patients, but no recurrence was observed after the second operation. Conclusion Nasal endoscopy combined with low-temperature plasma for the resection of T1-T3 inverted papillomas of the nasal cavity and sinuses is safe and minimally invasive, and it is associated with a low postoperative recurrence rate.