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目的 :探讨鼻咽纤维血管瘤较好的微创手术方法。方法 :4例鼻咽纤维血管瘤采用鼻内窥镜技术辅以动脉血管栓塞、控制性低血压麻醉及半导体激光等手段治疗 ,总结经验教训。结果 :1例出血 3 0 0 0ml,肿瘤残留 ,再行硬腭进路鼻咽纤维血管瘤残根切除。其余 3例治愈 ,术中出血 1 0 0～ 50 0ml,术后无并发症 ,随访 4～31个月无复发。结论 :经鼻内窥镜手术是治疗鼻咽纤维血管瘤的一种较好的微创手术方法。但应注意适应证的选择、术前充分的准备和术中一定的操作技巧是手术成功的关健
Objective: To explore a better minimally invasive surgery for nasopharyngeal hemangiomas. Methods: Four cases of nasopharyngeal fibroadenoma were treated with endoscopic sinus surgery, arterial embolization, controlled hypotension anesthesia and semiconductor laser, and the experiences and lessons were summarized. Results: One case had a hemorrhage of 3000 ml and the tumor remained, and then the remnant of the nasopharyngeal fibro-hemangioma was resected through the hard palate. The remaining 3 cases were cured, intraoperative bleeding 100 ~ 50 0ml, no complications after follow-up of 4 to 31 months without recurrence. Conclusion: Nasal endoscopic surgery is a good minimally invasive surgical method for the treatment of nasopharyngeal fibrovascular tumors. But should pay attention to the choice of indications, adequate preoperative preparation and operation of certain skills is the key to the success of surgery