摘要
[目的]总结46例鼻咽血管纤维瘤手术所采用的各种进路,以提高治疗水平。[方法]用各种手术进路切除鼻咽血管纤维瘤46例,其中经腭进路28例,鼻侧切开进路12例,改良Biller’s切口联合腭进路1例,颅而联合进路2例,鼻内窥镜进路3例。[结果]46例鼻咽血管纤维瘤均顺利切除。平均出血量712 mL,复发7例。[结论]根据肿瘤的大小及范围,采用合适的手术进路,能充分暴露肿瘤,有利于手术操作,缩短手术时间,减少术后复发。
[Objective] Various operative approaches were summarized in 46 cases in order to improve the treatment of nasopharyngeal angiofibroma. [Methods] Nasopharyngeal angiofibroma were removed by several approaches in 46 cases, including transpalatal (28 cases), nasolateral (12 cases), modified Biller' s incision combined with transpalatal (1 case), craniofacial combination (2 cases) and rhinal endoscopy (3 cases). [Results]All the cases were operated without difficulty. The bleeding volume was 712 mL in average. [Conclusion]7 cases relapsed. Based on the size and scope of nasopharyngeal angiofibroma, suitable approach can make the tumor exposed clearly, shorten the operation time and reduce the recurrence of tumor.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2004年第1期74-76,共3页
Journal of Sun Yat-Sen University:Medical Sciences
基金
广东省科委重点攻关基金资助(99M04901G)
