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目的:探讨鼻中隔肿块的临床诊断与治疗。方法:对1983年3月-2007年8月收治的253例原发于鼻中隔的肿块患者的临床资料进行回顾性分析。结果:253例鼻中隔肿块中,良性肿瘤219例,恶性肿瘤34例;良性肿瘤采用鼻内/鼻侧径路,随访6个月～12年(平均72个月),173例无复发和恶性变,12例复发再次手术,9例死于其他疾病,25例失访。恶性肿瘤采用鼻内/鼻侧径路加放/化疗,随访12个月～15年3个月,6例于术后2年～6年7个月因复发或转移而死亡;余28例生存,未见肿瘤复发。结论:对于原发于鼻中隔的良性肿瘤以手术切除为主,关键是一次性彻底切除,而恶性肿瘤应采取综合治疗,术后应进行定期随访。
Objective: To investigate the clinical diagnosis and treatment of nasal septum mass. Methods: The clinical data of 253 patients with nasal septum mass treated from March 1983 to August 2007 were analyzed retrospectively. Results: Among 253 nasal septum masses, 219 were benign tumors and 34 were malignant tumors. The benign tumors were followed up for 6 months to 12 years (average 72 months) and 173 patients had no recurrence or malignancy. Twelve patients underwent repeat surgery, 9 died of other diseases, and 25 lost their follow-up. Malignant tumors were treated with intranasal / nasal approach plus chemotherapy. The patients were followed up for 12 months to 15 years and 3 months. Six patients died of recurrence or metastasis from 2 years to 6 years and 7 months after operation. Survival, No tumor recurrence. CONCLUSIONS: For surgical resection of benign tumors originating in the nasal septum, the key is a one-time radical resection, while malignant tumors should be treated comprehensively and regularly followed up.