摘要
目的:探讨鼻腔、鼻窦内翻性乳头状瘤临床治疗结果.方法:对1995年1月至1999年12月间手术治疗的鼻腔、鼻窦内翻性乳头状瘤60例的临床资料进行总结,分析病变范围、手术方式与复发的关系.结果:60例中局部复发7例.根据NIP分期,Ⅱ期、Ⅲ期和Ⅳ期的复发率分别为6.9%(2/29),22.2%(4/18)和1/2.内镜术后复发3例,鼻侧切开术后复发2例,复发率分别为15.0%(3/20)和25.0%(2/8).结论:病变范围越小,手术效果越好.内镜手术适用于较局限的病变,对广泛病变鼻侧切开术是一种有效的手术方式,改良鼻侧切开术可降低其术后并发症.
Objective: The associated factors with recurrence of the inverted papilloma of the nasal cavity and paranasal sinuses were analyzed. Methods: Sixty patients with inverted papilloma of nasal cavity and paranasal sinuses were treated from January 1995 to December 1999. The relationship between size of the tumor and surgical method with recurrence were analyzed retrospectively. There were 41 males and 14 females, ranging in age from 26 to 72 years old. Results: The local recurrent rate was 11. 7% (7/60) of the tumors. Two of them happened in the patients with limited tumor while other four with wide range tumor. The recurrent rate of the stage Ⅱ ,Ⅲ and Ⅳ was 6. 9% (2/29) ,22. 2% (4/18) and 1/2 respectively. The recurrent rate of the endoscopy nasal surgery group and lateral rhinotomy group was 15. 0%(3/20) and 25. 0%(2/8) respectively. Conclusion: Result showed that the effect of surgical result are better in the smaller of the tumor than that in the wide range tumor. The endoscopic sinus surgery should be using in the limited lesions. The lateral rhinotomy is the effective selection for the wide range lesions. Modified lateral rhinotomy may diminish the complications of the traditional lateral rhinotomy.
出处
《耳鼻咽喉（头颈外科）》
2003年第2期80-82,共3页
Chinese Arch Otolaryngology-Head Neck Surg
