鼻内窥镜下结合鼻腔解剖手术治疗鼻腔内翻性乳头状瘤

中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (6): 721-723.

鼻内窥镜下结合鼻腔解剖手术治疗鼻腔内翻性乳头状瘤

冯春英，　柯朝阳，　刘倩，　周敬淳，　张博，　韩灵

暨南大学第二临床医学院深圳市人民医院，深圳 518020

收稿日期:2013-04-16 出版日期:2013-11-25 发布日期:2013-12-16
通讯作者: 刘倩，副主任医师，E-mail:13923457897@139.com E-mail:fengcy89@sina.com
作者简介:冯春英（1963-），女，湖北武汉人，硕士，主任医师，主要从事耳鼻咽喉临床研究

To analyse the therapeutic effects of nasal endoscopy in the surgery of the Inverted papilloma of the nasal cavity and the paranasal sinuses

FENG Chun-ying， KE Chao-yang， LIU qian， LIU fang， ZHOU Jing-chun， ZHANG Bo， HAN Ling

The Second Affiliated Hospital of Jinan University Medical College, Department of Otolaryngnology, Shenzhen Peoples's Hospital, Shenzhen 518020，China

Received:2013-04-16 Online:2013-11-25 Published:2013-12-16

摘要/Abstract

摘要：

目的　探讨鼻内窥镜下结合鼻腔解剖手术治疗鼻腔鼻窦内翻性乳头状瘤的应用价值并分析其手术治疗效果。方法　对26例鼻腔鼻窦内翻性乳头状瘤经鼻内窥镜手术的患者进行回顾性分析，根据其病变范围，按照Krouse分期法：其中Ⅰ级5例，Ⅱ级15例，Ⅲ级6例，Ⅳ级0例。单纯鼻内窥镜手术者11例，鼻内窥镜+柯—陆氏手术者12例，鼻内窥镜+鼻侧切开+柯—陆氏手术者3例。结果　26例术后患者随访，有3例复发，再次经鼻内窥镜手术后未见复发，其余患者均未见复发，除个别患者有轻微鼻干外，其余患者无并发症出现。结论　对Ⅰ级内翻性乳头状瘤患者，单纯鼻内窥镜手术即能彻底切除，对Ⅱ级、Ⅲ级患者需鼻内窥镜结合柯—陆氏手术，个别还需结合鼻侧切开术，术前须对病情作出正确的评估，鼻内窥镜手术视野清晰、创伤小、对于Ⅰ、Ⅱ及Ⅲ级内翻性乳头状瘤患者可彻底切除肿瘤，降低复发率。

关键词: 鼻内窥镜手术, 鼻肿瘤, 鼻窦肿瘤, 内翻性乳头状瘤

Abstract:

Objective　To investigate the value of application and the therapeutic effects of nasal endoscopic surgery combined with the nasal anatomy for treatment of inverted papilloma in the nasal cavity and the paranasal sinuses. By the anatomy of nasal and sinus neoplasma.　Methods　26 cases of patients with inverted papilloma in the nasal cavity and the paranasal sinuses treated with nasal endoscopic surgery were analysed retrospectively. According to the Krouse scores, there were 5, 15, 6 and 0 ases inI to IV stages, respectively. There were 11 patients receiving only nasal endoscopic surgery, 12 patients receiving endoscopic surgery combined with Caldwell-Luc surgery, 3patients receiving combination of nasal endoscopic surgery, Caldwell-Luc surgery and lateral rhinotomy.　Results　Among those 26 patients, 3 cases had suffered recurrence, butthey were cured after a secondnasal endoscopic surgery. Quite a few cases had nasal cavity dryness，apart from which no other complication were observed.　Conclusions　Forpatients of stage I, the nasal cavity and the paranasal sinuses inverted papilloma could be radically removed by nasal endoscopic surgery. For patients of stage II and III,however, endoscopic surgery only may not be sufficient, some cases need Caldwell-Luc operation and even lateral rhinotomy as well. Thus, it is important to accurately assesspatient's condition before surgery. In a word, the high-definition of nasal endoscopic surgery has small trauma, less recurrence rate and could remove tumor radically forpatients of stage I to III.

Key words: Nasal endoscopic surgery, Nasal and sinus neoplasma, Inverted papilloma

中图分类号:

739.62

冯春英, 柯朝阳, 刘倩, 周敬淳, 张博, 韩灵. 鼻内窥镜下结合鼻腔解剖手术治疗鼻腔内翻性乳头状瘤[J]. 中国临床解剖学杂志, 2013, 31(6): 721-723.

FENG Chun-Yang, KE Chao-Yang, LIU Qian, ZHOU Jing-Chun, ZHANG Bo, HAN Ling. To analyse the therapeutic effects of nasal endoscopy in the surgery of the Inverted papilloma of the nasal cavity and the paranasal sinuses[J]. Chinese Journal Of Clinical Anatomy, 2013, 31(6): 721-723.

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