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目的探讨一种更好的治疗咽部乳头状瘤的方法 ,分析使用鼻息肉圈套器治疗咽部乳头状瘤的效果。方法咽部表面黏膜局部麻醉下对45例患者用筛窦黏膜钳钳夹咽部乳头状瘤并稍用力牵引,用鼻息肉圈套器套入瘤体根部,收紧圈套器摘除瘤体,创面可用干棉球稍加压迫片刻以止血。手术后随访6个月观察疗效。结果本组45例患者使用鼻息肉圈套器治疗咽部乳头状瘤均一次性治愈,手术时间短,2～3s即可切除咽部乳头状瘤,术中出血少,约0.1～0.5ml,术后5d创面伪膜开始脱落,17例患者7d左右创面基本愈合,28例患者10d创面基本愈合。手术后1,3,6个月后复诊,未见一例复发。结论使用鼻息肉圈套器治疗咽部乳头状瘤安全有效、操作方便、术后反应轻、愈合快,值得临床推广。
Objective To explore a better method of treating pharyngeal papilloma and analyze the effect of using nasal polyps to treat pharyngeal papilloma. Methods 45 patients underwent pharyngeal surface mucosal local anesthesia with papillary sinus mucosal forceps clamp the pharyngeal papilloma and a little hard traction, with the nasal polyps snared into the root of the tumor, tighten the snare tumor removal device, the wound available Dry cotton ball slightly pressure a moment to stop bleeding. Follow-up 6 months after surgery to observe the effect. Results The group of 45 patients treated with nasal polyps snare for the treatment of pharyngeal papilloma were a one-time cure, the operation time is short, 2 ~ 3s can be removed pharyngeal papilloma, less bleeding, about 0.1 ~ 0.5ml, surgery After 5 days, the pseudomembranes of the wound began to fall off, and the wounds of 17 patients basically healed on the 7th day. The wounds of the 28 patients basically healed on the 10th day. One, three and six months after surgery referral, no case of recurrence. Conclusion The use of nasal polyps snare for the treatment of pharyngeal papilloma is safe and effective, easy to operate, postoperative reaction light, heal fast, worthy of clinical promotion.