摘要
目的探讨鼻内镜下鼻腔鼻窦恶性肿瘤切除术的可行性及疗效。方法回顾性总结鼻内镜下鼻腔、鼻窦恶性肿瘤切除术病例15例。其中,筛窦鳞状细胞癌3例、嗅神经母细胞瘤3例、恶性黑色素瘤3例、筛窦腺癌2例、腺样囊性癌4例。结果根据内镜下所见及术后影像学检查证实14例肿瘤全部切除、1例大部切除。所有病例随访24～48个月(平均32个月),随访过程中1例死于肿瘤脑转移,4例局部复发,其余10例未发现复发。结论对于局限于鼻腔、筛窦的恶性肿瘤,鼻内镜手术可以将其完整切除,术后应辅以放疗。
【Objective】To investigate the efficacy and feasibility of endoscopic surgery to manage the sinonasal malignancies. 【Methods】A retrospective analysis was performed of patients treated by an exclusive endoscopic approach. A wide range of pathologies included 3 cases of ethmoidal squamous carcinoma, 3 cases of esthesioneuroblastoma, 3 cases of melanoma, 2 cases of ethmoidal adenocarcinoma, 4 cases of adenoid cystic carcinoma. 【Results】Tumors were totally removed in 14 cases and subtotally removed in 1 case, follow-up ranged from 24 to 48 months （mean, 32months）. 1 case died of brain metastases, 4 cases recurred locally. No recurrence was detected in the rest 10 cases during the follow-up. 【Conclusions】Endoscopic surgery is a effective method for sinonasal malignancies. Indication must be carefully selected and radiotherapy is advised postoperative.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第10期1069-1071,共3页
China Journal of Endoscopy
关键词
鼻腔恶性肿瘤
鼻窦恶性肿瘤
内镜鼻窦手术
endoscopic sinus surgery
malignant nasal tumor
malignant sinus tumor
