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目的:探讨鼻内翻性乳头状瘤的临床分期和手术方式选择,以降低复发率。方法:对41例鼻内翻性乳头状瘤,根据病变的特征将其分期为T_1、T_2、T_3、T_4期,据此,19例行鼻内镜手术,20例行鼻侧切开手术,2例行上颌骨部分或全截除术。结果:鼻内镜手术后复发率为10.5％,鼻侧切开术后复发率为15.0％。结论:鼻内翻性乳头状瘤根据CT检查和病变的特征进行临床分期,按分期选择手术方式,可以彻底切除肿瘤,降低术后复发率。
Objective: To investigate the clinical staging and surgical options of nasal inverted papilloma in order to reduce the recurrence rate. Methods: Totally 41 cases of nasal inverted papilloma were divided into T_1, T_2, T_3 and T_4 stages according to the characteristics of the lesions. According to the results, 19 cases underwent endoscopic sinus surgery and 20 cases underwent lateral nasal surgery. 2 cases of maxillary partial or total amputation. Results: The recurrence rate after endoscopic sinus surgery was 10.5% and the recurrence rate after nasal resection was 15.0%. Conclusion: Nasal inverted papilloma is classified according to the characteristics of CT examination and lesion, and the surgical procedure can be selected according to stages. The tumor can be completely excised and the recurrence rate can be reduced.