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目的探讨鼻腔鼻窦神经鞘瘤的诊断与治疗经验。方法回顾性分析2008年1月至2015年1月在我科住院并手术治疗的7例鼻腔、鼻窦及鼻咽部神经鞘瘤的病历、影像及病理切片资料,并随访其预后。结果本组共有7例鼻腔、鼻窦或鼻咽部的神经鞘瘤,其中鼻腔鼻窦神经鞘瘤5例,鼻咽部神经鞘瘤2例;5例在鼻内镜下手术切除,1例鼻侧切开径路切除,1例经硬腭径路切除;随访6个月至6年,均无功能障碍和复发。结论随着鼻腔内窥镜手术技术的提高和对鼻腔鼻窦神经鞘瘤影像学特征的熟悉,鼻腔鼻窦神经鞘瘤多可选择在鼻内镜下手术切除,完整切除后,肿瘤不易复发,受累及的神经无明显功能障碍。
Objective To investigate the diagnosis and treatment of nasal sinus nerve sheath tumors. Methods The clinical data of 7 cases of nasal, sinus and nasopharyngeal schwannoma hospitalized and surgically treated in our department from January 2008 to January 2015 were analyzed retrospectively. The prognosis was followed up. Results There were 7 cases of schwannomas in the nasal cavity, nasal cavity or nasopharynx in this group, including 5 cases of nasal sinus schwannoma and 2 cases of nasopharyngeal schwannoma; 5 cases underwent endoscopic resection and 1 case of nasal Excision of the path incision, 1 case of pathological excision of the palatal palate; follow-up of 6 months to 6 years, no dysfunction and recurrence. Conclusions With the improvement of nasal endoscopic surgery and the familiarity with nasopharyngeal schwannoma imaging features, nasal sinus schwannoma can be surgically removed under endoscopic sinus surgery. After complete resection, the tumor is not easy to recur and is involved No obvious nerve dysfunction.