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目的:评估鼻内镜手术对于鼻腔鼻窦良恶性肿瘤的治疗效果及应用价值。方法:收集我科采用鼻内镜或鼻内镜辅助手术治疗的鼻腔鼻窦良恶性肿瘤共109例,并进行回顾性分析。结果:经随访12-60个月,本组109例患者中,应用单纯鼻内镜下治疗的4例鼻腔鼻窦肿瘤患者术后出现复发,1例失访,复发率为5%;鼻内镜联合柯陆氏入路手术的16例患者中未出现术后复发;2例鼻内镜辅助鼻侧切开手术治疗的恶变内翻乳头状瘤患者术后1年出现局部复发及广泛脑膜侵犯死亡;鼻内镜辅助鼻侧切开手术中的2例恶性黑色素瘤其中1例术前已出现颊部及颈部淋巴结转移,于术后8个月-1.5年中出现远处转移后死亡。结论:鼻内镜手术已经逐渐成为多种鼻腔鼻窦良性肿瘤以及部分恶性肿瘤的首选治疗方式。
Objective: To evaluate the therapeutic effect and application value of endoscopic sinus surgery for benign and malignant nasal sinus tumors. Methods: A total of 109 cases of nasal sinus benign and malignant tumors collected in our department with endoscopic or endoscopic assisted surgery were collected and analyzed retrospectively. Results: Of the 109 patients who underwent endoscopic sinus surgery, 4 cases of nasal sinus tumors recurred after 12-60 months of follow-up. One case lost follow-up and the recurrence rate was 5%. Nasal endoscopy There were no postoperative recurrences in the 16 patients treated with Coriolis approach. Two patients with malignant transformed papilloma treated with nasal endoscopic sinus surgery showed local recurrence and widespread invasion of meninges one year after operation ; 2 cases of malignant melanoma assisted nasal endoscopic sinus surgery in 1 case of preoperative cheek and neck lymph node metastasis occurred in the postoperative 8 months -1.5 years after the death of distant metastasis. Conclusion: Endoscopic sinus surgery has gradually become the preferred treatment for many types of benign and malignant nasal sinus tumors.