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目的探讨鼻内镜下鼻腔鼻窦内翻性乳头状瘤切除术的方法及效果。方法回顾分析65例患者的临床资料。结果本组65例患者均完整切除肿瘤,症状消失,术后无明显并发症发生。本组患者术后经病理诊断均为内翻性乳头状瘤。于术后6个月内按鼻内镜常规要求换药,并定期复查。全部患者随访1~4年,其中6例在随访期第3年复发,均为侵犯上颌窦肿瘤,再次手术后未有复发。2例在第4年复发,手术切除病理报告为肿瘤恶变,行鼻侧切开术切除肿瘤,术后配合放疗,目前患者状况较好。结论鼻内镜下切除肿瘤创伤小,并发症少,可同时处理鼻腔及鼻窦的其他病变,术后随访简单易行。单纯采用鼻内镜手术时,要选择好适合病例,对病变范围广泛,手术难度大,鼻内镜下联合其他方法治疗是较好的选择。
Objective To investigate the method and effect of nasal endoscopic sinus surgery for inverted papilloma. Methods The clinical data of 65 patients were retrospectively analyzed. Results The group of 65 patients with complete tumor resection, the symptoms disappeared, no significant postoperative complications. This group of patients postoperative pathological diagnosis of inverted papilloma. Within 6 months after surgery according to conventional nasal endoscopy dressing, and regular review. All patients were followed up for 1 to 4 years, of which 6 cases of recurrence in the third year follow-up were violations of maxillary sinus tumor, no recurrence after surgery. Two cases relapsed in the fourth year. Surgical resection of the pathological report of malignant tumor, nasal resection line excision of the tumor, combined with radiotherapy after surgery, the current patient status is better. Conclusions Endoscopic resection of tumor with less trauma and fewer complications can treat other nasal and sinus lesions simultaneously. Postoperative follow-up is simple and easy. Simply using endoscopic sinus surgery, to choose a good case, a wide range of lesions, surgical difficulty, combined with other endoscopic treatment is a better choice.