放射性后鼻孔闭锁鼻内镜微波治疗远期疗效观察

The long-term curative effect of microwave therapy of radiotherapeutical choanal atresia under nasal endoscope

目的 :探讨鼻内镜下微波治疗鼻咽癌 (NPC)放疗后后鼻孔闭锁的远期疗效。方法 :对2 1例NPC放疗后后鼻孔闭锁患者采用鼻内镜与微波相结合的方法 ,经鼻腔切除膜性闭锁 ,术后分期进行随访。结果 :随访 3年以上 ,2 1例患者鼻腔均达到正常通气 ,无再狭窄和闭锁 ,治愈率达10 0 %。结论 :本方法具有操作简便、术野清晰、组织损伤轻、患者痛苦少、远期疗效可靠等优点 ,是治疗NPC放疗后后鼻孔闭锁较为理想的方法。

Objective:In order to observe the long-term curative effect of microwave to treat the choanal atresia after radiotherapy under nasal endoscope. Method:Twenty-one cases of choanal atresia after radiotherapy were treated by microwave under nasal endoscope. Result:Following-up more than 3 years after operation, all the 21 cases were cured(100%) with no relapse.Conclusion:This method is simple with mild damage to nomal tissues,clear operation visual field,less postoperation pain,stadle long-term therapeutical effect and good way to treat choanal atresia in NPC after radiotherapy.