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鼻咽部纤维血管瘤的外科手术,众所公认,是目前最有效的治疗方法。但由于肿瘤位置深在、隐蔽、术野狭小、暴露不良,手术时几乎都有较大量的出血,因而给手术操作带来了相当的困难和危险。多年来医者为此多方探索,寻求一种能在明视下、简便、安全、彻底切除肿瘤的理想方法。显然,手术径路的选择,无疑地是一个非常关键的问题。手术径路,种类繁多,各有利弊,久经争论。作者复习我院二十多年来手术治疗38例(包括外院5例),现就径路选择进行探讨,供参考。据 Koch 氏与 Ergler 氏统计,此肿瘤手术方法有55种之多,但可归纳为二大类:
The surgery of nasopharyngeal fibroangioma is widely recognized as the most effective treatment. However, due to the deep location, concealment, narrow operative field, and poor exposure of the tumor, a large amount of hemorrhage occurred during surgery, which caused considerable difficulties and dangers for surgical operations. For many years, doctors have explored many ways to find an ideal method for clear, simple, safe and thorough removal of tumors. Obviously, the choice of surgical route is undoubtedly a very critical issue. There are many kinds of surgical routes, each has its own advantages and disadvantages, and it has been debated. The author reviewed 38 cases of surgical treatment in our hospital for more than 20 years (including 5 cases in the external hospital). We now discuss the choice of pathway for reference. According to Koch’s and Ergler’s statistics, there are more than 55 different surgical methods for this tumor, but they can be grouped into two categories: