摘要
目的探讨提高人类鼻乳头状瘤治疗水平及预防复发与癌变的途径。方法回顾性分析38例鼻腔鼻窦乳头状瘤患者的临床资料,其中25例患者及家属同意植入氟尿嘧啶(5-Fu)缓释剂(Ⅰ组),13例患者及家属拒绝植入5-Fu缓释剂(Ⅱ组),均采用手术摘除并随访1年或1年以上。结果Ⅰ组中有1例术后3个月内,2例术后5个月内,1例术后12个月内复发。Ⅱ组中有3例于术后3个月内,4例于术后9个月内,2例于术后13个月内复发。病理检查均未发现癌变。两组相比经卡方检验有显著性差异(χ2=10.77P<0.01)。结论鼻黏膜下植入5-Fu缓释剂是鼻乳头状瘤患者术后辅助治疗的最佳方法之一,可有效防止复发,值得借鉴使用。
Objective The discussion raises the humanity nose papilloma treatment level and the prevention recurs with the canceration way. Methods retrospective analysis 38 examples noses cavity paranasal sinus papilloma patient's clinical material, 25 examples patient and the family member agrees implants of 5 - Fu Slows release the medicinal preparalion( I team), 13 examples patient and the family member refuses to implant of 5 - Fu Slows release the medicinal preparation( II team), All uses the surgery excises and makes a follow - up visit one year or above one year. Results One case in three months of atter operation, two cases in five months of atter operation, One case is recurred, in twelfth months , three cases in three months of atter operation , four cases in nine months of atter operation , two cases is recurred, in thirteen months , The pathology inspection all not discovers the canceration Two groups compare after the card side examination have significance the difference( x^2 = 10.77 P 〈0. 01 ). Conclusion One best method of schneiderian membrane under implants of 5 - Fu Slows release the medicinal preparation assists the treatment after the nose papilloma patient technique, but effectively prevents recurs, is worth profiting from uses.
出处
《临床和实验医学杂志》
2006年第2期115-116,共2页
Journal of Clinical and Experimental Medicine