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目的:探讨鼻腔鼻窦少见良性肿瘤的手术径路及临床特点。方法:复习相关文献,回顾性分析24例鼻腔鼻窦良性肿瘤的临床资料、手术方法并进行随访。结果:根据病变范围和手术方法的改进,10例鼻侧切开切除肿瘤,6例Caldwell-luc手术切除肿瘤,6例鼻内窥镜下手术切除肿瘤,2例鼻内窥镜联合鼻侧切开切除肿瘤,肿瘤主要发生部位为上颌窦、筛窦,均有包膜,21例有局部骨质破坏,随访2~10年无复发病例。结论:鼻腔鼻窦少见良性肿瘤生长缓慢,以青少年发病为主,临床表现无特异性,诊断以术前CT及术后病理为主,手术彻底切除是唯一治疗方法。
Objective: To explore the surgical approach and clinical features of rare benign nasal sinuses. Methods: Review the relevant literature, retrospective analysis of 24 cases of nasal sinus benign tumor clinical data, surgical methods and follow-up. Results: According to the lesion scope and the improvement of operation method, 10 patients underwent nasal resection and excision of the tumor, 6 patients underwent Caldwell-luc operation, 6 patients underwent endoscopic sinus surgery, 2 patients underwent nasal endoscopic sinus surgery Open excision of the tumor, the tumor occurred mainly in the maxillary sinus, ethmoid sinus, are enveloped, 21 cases of local bone destruction, followed up for 2 to 10 years without recurrence. Conclusions: The rare benign nasal sinuses grow slowly, mainly in adolescents, the clinical manifestations of nonspecific diagnosis of preoperative CT and postoperative pathology, thorough surgical excision is the only treatment.