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目的:探讨治疗鼻内翻性乳头状瘤的方法与临床效果。方法:43例鼻内翻性乳头状瘤在鼻内镜下用圈套器套取或电烧大块切除鼻腔部肿瘤,然后按Messerkinger术式自前向后切除鼻窦肿瘤。上颌窦内病变清除困难者加行柯-陆手术进路。结果:出血量30~300 ml,平均出血量130 ml。术后随访1~3 a,仅4例1 a内复发。结论:应用鼻内镜鼻窦手术技术切除鼻内翻性乳头状瘤,是目前治疗鼻腔鼻窦内翻性乳头状瘤的理想方法。
Objective: To explore the treatment of nasal inverted papilloma method and clinical results. Methods: 43 cases of nasal inverted papilloma under nasal endoscopy with snare sheath or large electric resection of nasal tumor, and then by Messerkinger surgical resection of the sinuses from the front to the back. Maxillary sinus lesions removal difficulties plus Ke - Lu surgery approach. Results: The amount of bleeding 30 ~ 300 ml, the average amount of bleeding 130 ml. The patients were followed up for 1-3 years, and only 4 cases relapsed within 1 year. Conclusion: Endoscopic sinus surgery for nasal inverted papilloma is the ideal method for the treatment of inverted papilloma of nasal cavity and nasal cavity.