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目的:探讨鼻腔内翻性乳头状瘤患者行鼻内镜下低温等离子射频手术治疗的临床疗效。方法:选取我院2010年6月到2013年6月期间收治的35例鼻腔内翻性乳头状瘤患者,根据Krouse分级,其中I和II级患者单纯采用鼻内镜下低温等离子射频手术治疗,III级患者首先采用低温等离子射频将瘤体主体部分切除,在此基础上再对重要的瘤体累及部位行骨膜下切除。结果:手术时间在15~80 min,中位数手术时间为(40.6±7.3)min。I级和II级病变患者出血量为5~40 ml,III级病变患者为70~230ml,中位数出血量为(87.4±12.6)ml。所有患者术后疼痛轻微,鼻腔通气状况良好,于术后2~3d出院。所有患者均于术后2~3个月后见术腔全部上皮化,均无手术相关并发症发生,并连续随访半年无一例复发。结论:通过对NIP患者行鼻内镜下低温等离子射频手术治疗的疗效显著,具有手术野清晰,创伤性小,患者术中出血量少,手术时间短等优点,可作为一种微创手术治疗NIP的良好方法,对提高患者的生活质量具有重要意义。
Objective: To investigate the clinical efficacy of endoscopic nasal endoscopic radiofrequency plasmanectomy in patients with nasal inverted papilloma. Methods: Thirty-five patients with nasal inverted papilloma admitted from June 2010 to June 2013 in our hospital were enrolled in this study. According to Krouse classification, I and II patients underwent endoscopic nasal endoscopic low-temperature plasma radio frequency surgery, Patients with grade III first use low-temperature plasma radiofrequency ablation of the main part of the tumor, and then on the basis of an important part of the tumor involving subperiosteal resection. Results: The operation time ranged from 15 to 80 min, and the median operation time was (40.6 ± 7.3) min. Patients with grade I and II disease had a blood loss of 5 to 40 ml, a grade III disease of 70 to 230 ml, and a median amount of bleeding of (87.4 ± 12.6) ml. All patients postoperative mild pain, nasal ventilation in good condition, 2 to 3 days after discharge. All patients had complete epithelialization of the surgical cavity 2 to 3 months after surgery. No complications occurred during the operation, and no recurrence was found after 6 consecutive years of follow-up. Conclusion: The therapeutic effect of nasal endoscopic low-temperature plasma radio frequency surgery in patients with NIP is significant. It has the advantages of clear operation field, less invasiveness, less intraoperative blood loss and shorter operative time, which can be used as a minimally invasive surgical treatment Good methods for NIP are important for improving the quality of life of patients.