摘要
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 reduce the recurrent rate of the nasal inverted papilloma(NIP) ,the staging system of the NIP and the select criterion of surgical approaches were researched. Method: Based on the feature of the tumor and CT examination, forty-one cases of NIP were divided into T1 ,T2,T3 ,T4 Nineteen patients were treated endis-copically. Twenty patients were undergone lateral rhinotomy. Two patients were treated with medial maxillecto-my. Result:Recurrent rate of the endoscopic management was 10. 5%. Recurrent rate of the lateral rhinotomy was 15. 0%. Conclusion:The disease of the TI ,T2,T3 can be treated by endoscopic management. The disease of the T3b,T4 can be treated by lateral rhinotomy or other approach. The selection of the surgical approach depended on the tumor clinical staging system.
出处
《临床耳鼻咽喉科杂志》
CAS
CSCD
北大核心
2003年第4期207-208,共2页
Journal of Clinical Otorhinolaryngology
关键词
鼻肿瘤
乳头状瘤
内翻性
内镜手术
Nose neoplasms
Papilloma,inverted
Endoscopic surgery
