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摘要: 报告13例儿童鼻部实质性肿物，其中鼻中隔血管瘤3例，上颌血管瘤2例，鼻婴儿纤维瘤1例，鼻腔及鼻窦成骨细胞瘤1例，鼻咽淋巴瘤2例，上颌淋巴瘤1例，鼻咽横纹肌肉瘤1例，上颌鳞状细胞癌1例，鼻咽鳞状细胞癌1例。所有患儿均采用手术治疗，1例鼻腔婴儿纤维瘤，2例鼻咽淋巴瘤，1例鼻咽横纹肌肉瘤，1例鼻咽癌和1例上颌癌术后接受放疗和化疗。本组病例显示儿童鼻部较为常见的实质性肿物是血管瘤，其中有2例鼻部具侵袭性的良性肿瘤，分别为1例鼻腔婴儿纤维瘤和1例鼻腔骨母细胞瘤。鼻内镜下肿物切除合并功能性鼻内镜手术是治疗该区域肿物的主要手段，疗效显著。儿童鼻部恶性肿瘤并不少见，以淋巴瘤和横纹肌肉瘤常见，鼻咽癌和上颌窦癌亦有散发病例。Abstract: In this article we reported 13 cases of the substantial nasal mass in children. Among 13 these patients, 3 cases were septal hemangioma, 2 cases were maxillary hemangioma, 1 case was nasal infantile fibromatosis, 1 case was osteoblastoma of the nasal cavity and sinuses, 2 cases were lymphoma of nasopharynx, 1 case was maxillary lymphoma, 1 case was rhabdomyosarcoma of nasopharynx, 1 case was maxillary squamous-cell carcinoma, 1 case was squamous-cell carcinoma of nasopharynx.All 13 cases were treated with surgery, 1 case with nasal infantile fibromatosis, 2 cases with lymphoma of nasopharynx, 1 case with rhabdomyosarcoma of nasopharynx, 1 case with nasopharyngeal carcinoma and 1 case with maxillary carcinoma were taken postoperative radiotherapy and chemotherapy. The most common substantial nasal mass in children was hemangioma. This study included 2 cases with nasal invasive benign tumors, 1 case with nasal infantile fibromatosis and 1 case with osteoblastoma of the nasal cavity and sinuses. The functional nasal endoscopic surgery of mass resection was the main method for the treatment of mass in this area and had achieved satisfied effect. Lymphoma and rhabdomyosarcoma were the most common nasal malignant tumor in children. Nasopharyngeal carcinoma and maxillary carcinoma were not uncommon.
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Key words:
- children /
- nasal tumor /
- endoscopic surgery
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表 1 儿童鼻腔肿物发病情况
X ±S 类别 疾病 例数 平均年龄/岁 良性肿瘤 鼻中隔血管瘤 3 8.67±3.59 上颌窦血管瘤 2 具侵袭性的良性肿瘤 鼻腔骨母细胞瘤 1 5.75±5.19 鼻腔婴儿纤维瘤 1 恶性肿瘤 鼻咽部淋巴瘤 2 8.17±3.29 鼻咽癌 1 上颌窦鳞状细胞癌 1 鼻咽部横纹肌肉瘤 1 上颌窦淋巴瘤 1 
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