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目的探讨鼻内镜下切除鼻腔及鼻窦内翻性乳头状瘤的治疗效果。方法根据Krouse的分期,回顾性分析30例行鼻内镜手术并运用内镜随访24个月Ⅰ～Ⅲ级鼻腔及鼻窦内翻性乳头状瘤患者的临床资料。结果30例均在鼻内镜下彻底切除肿瘤,无并发症发生。1例在手术后10个月复发恶变;2例分别在术后6和7个月复查时出现复发,咬除并以微波烧灼病变及基底黏膜,其后的随访中未出现复发;其余病例术腔光滑,在随访期间均未见复发。本组复发率为10%,恶变率为3.3%。结论鼻内镜下切除鼻腔及鼻窦内翻性乳头状瘤,有良好的治疗效果,术后复发率较低。
Objective To investigate the therapeutic effect of endoscopic sinus surgery on nasal inverted papilloma. Methods According to the Krouse staging, the clinical data of 30 patients with nasal and sinus inverted papilloma underwent endoscopic sinus surgery and endoscopic follow-up of 24 months were retrospectively analyzed. Results Thirty patients underwent complete endoscopic sinus surgery without any complications. One patient recurred malignant at 10 months after operation, and two patients relapsed at 6 and 7 months postoperatively respectively. The patients underwent bite removal and cauterization of the lesions and basement mucosa by microwave irradiation. No recurrence occurred after follow-up. The remaining cases Cavity smooth, no recurrence during follow-up. The recurrence rate of 10%, malignant rate of 3.3%. Conclusion Endoscopic resection of the nasal cavity and inverted papilloma of the nasal cavity has a good therapeutic effect, and the recurrence rate is low.