鼻内镜下切除鼻内翻性乳头状瘤18例临床研究

詹善强; 汤杰; 孔凡琍

doi:10.13201/j.issn.1001-1781.2013.02.002

鼻内镜下切除鼻内翻性乳头状瘤18例临床研究

- 九江市第一人民医院耳鼻咽喉头颈外科(江西九江, 332000)

详细信息

通讯作者: 詹善强，E-mail :zhanshanqiang@163.com

中图分类号: R739.63

收稿日期: 2012-03-30

Clinical study about 18 cases with endoscopic surgery for nasal inverted papilloma

- Department of Otorhinolaryngology-Head and Neck Surgery, the First People′s Hospital of Jiujiang, Jiujiang, 332000, China

More Information

Corresponding author: ZHAN Shanqiang, E-mail: zhanshanqiang@163.com

Received Date: 30 March 2012

摘要

摘要: 目的:探讨鼻内镜下彻底切除鼻内翻性乳头状瘤的手术方法及应用价值。方法:回顾分析2002-03-2009-03期间经鼻内镜手术治疗的18例鼻内翻性乳头状瘤患者临床资料,其中鼻内镜下鼻内翻性乳头状瘤切除术14例,鼻内镜联合Caldwell-Luc术式4例。结果:术后平均随访2.6年,无1例出现手术并发症。随访过程中有3例复发,其中Ⅱ级1例,Ⅲ级2例,术后复发率为16.7%,经再次手术后未见复发。结论:鼻内镜手术治疗鼻内翻性乳头状瘤是一种安全、有效的方法,对肿瘤广泛涉及上颌窦的Ⅲ级病变,联合Caldwell-Luc术式疗效好。
- 鼻肿瘤 /
- 乳头状瘤,内翻 /
- 鼻内镜术
Abstract: Objective:To evaluate the method and value of the nose endoscopic surgery on thoroughly cutting the nose inverted papilloma.Method:Eighteen patients with nasal inverted papilloma were treated by the nasal endoscopic surgery were analyzed retrospectively.Among all patients,the nasal inverted papilloma excision by endoscopy was in 14 cases,the nasal endoscopy uniting Caldwell-Luc surgery was in 4 cases.Result:The average duration of follow-up was 2.6 years.No complications were found in 18 cases.Relapse was found in 3 cases during the follow-up period,showing 16.7% relapse rate.Conclusion:The nasal endoscopic surgery to cut the nasal inverted papilloma is a very safe and effective method,and the curative effect of the nose endoscopic uniting Caldwell-Luc surgery is very useful to these cases which the papilloma had destroyed generally into the maxillary sinus.
- nose neoplasms /
- papilloma,inverted /
- endoscopic surgery

HTML全文

参考文献(11)

[1]	KROUSE J H. Development of a staging system for inverted papilloma[J]. Laryngoscope, 2000,110:965-968.
[2]	DAMMANN F,PEREIRA P, LANIADO M,et al. lnverted papilloma of the nasal cavity and the paranasal sinuses:using CT for primary diagnosis and follow-up[J]. AJR Am J Roentgenol,1999, 172:543-548.
[3]	陈观贵,张建国,严小玲,等.鼻腔鼻窦内翻性乳头状瘤的鼻内镜策略及疗效[J].临床耳鼻咽喉头颈外科杂志,2010,24(17):802-803.
[4]	LEE D K, CHUNG S k, Dhong H J,et al. Focal hyperostosis on CT of sinonasal inverted papilloma as a predictor of tumor origin[J]. AJNR Am J Neuroradiol, 2007,28:618-621.
[5]	KAMEL R,KHALED A,Kandil T.Inverted papilloma:new classification and guidelines for endoscopic surgery[J]. Am J Rhinol,2005,19:358-364.
[6]	王德辉,顾瑜蓉,李厚勇,等.鼻内镜手术治疗额窦内翻性乳头状瘤[J].中国耳鼻咽喉头颈外科,2006,13(8):587-589.
[7]	EAVEY R D. Inverted papilloma of the nose and paranasal sinuses in childhood and adolescence[J]. Layngoscope,1985, 95:17-23.
[8]	陈鸣,朱永斌. 鼻和鼻窦黏膜的创伤修复[J]. 临床耳鼻咽喉头颈外科杂志, 2011,25(17),814-816.
[9]	WAITZ G, WIGAND M E. Results of endoscopic sinus surgery for the treatment of inverted papilloma[J]. Laryngoscope, 1992, 102:917-922.
[10]	VALERIE J, LUND M S. Optimium management of inverted papilloma.[J]. Laryngol Otol, 2000, 114:194-197.
[11]	KROUSE J H. Endoscopic treatment of inverted papilloma:safety and efficacy[J]. Am J otolaryngol,2001, 22:87-99.