鼻内镜或鼻内镜辅助下手术切除复发性鼻腔鼻窦内翻性乳头状瘤

发布时间：2018-06-04 16:25

本文选题：乳头状瘤 + 内翻　；参考：《临床耳鼻咽喉头颈外科杂志》2015年20期

【摘要】：目的:探讨鼻内镜下或鼻内镜辅助下手术治疗复发性鼻腔鼻窦内翻性乳头状瘤(SIP)的疗效。方法:回顾性分析28例复发性SIP患者的临床资料。全部患者既往均有鼻腔鼻窦手术史,其中复发1次者17例,复发2次者10例,复发3次者1例。全部患者均接受鼻内镜或鼻内镜辅助下手术。结果:随访2~6年,仅3例在手术后复发,其余25例在随访期内均未见复发。5例患者术后发现鳞状细胞癌或灶性恶变,接受放疗并随访至今,1例复发2次并再次行手术治疗,2例死亡,2例未见复发。结论:鼻内镜下或鼻内镜辅助下手术是治疗SIP的首选方法,优势在于创伤小、并发症少和有利于保护鼻腔功能。对于有恶变者采取术后放化疗综合治疗,可提高长期生存率。彻底切除肿瘤和术后定期随访是治疗成功的关键。
[Abstract]:Objective: to evaluate the efficacy of endoscopic or endoscopic surgery in the treatment of recurrent inverted papilloma of nasal cavity and paranasal sinus (spp). Methods: the clinical data of 28 patients with recurrent SIP were retrospectively analyzed. All the patients had a history of nasal cavity and paranasal sinus surgery. Among them, 17 cases recurred once, 10 cases recurred twice, and 1 case recurred 3 times. All patients underwent endoscopic or endoscopic surgery. Results: following up for 2 ~ 6 years, only 3 cases recurred after operation, and none of the remaining 25 cases had recurrence in 5 cases. Squamous cell carcinoma or focal malignancy was found in all cases. One patient recurred 2 times after radiotherapy and 2 patients died after reoperation. No recurrence was found in 2 cases. Conclusion: endoscopic or endoscopic surgery is the first choice in the treatment of SIP, with the advantages of less trauma, fewer complications and better protection of nasal function. The long-term survival rate can be improved by combined radiotherapy and chemotherapy for patients with malignant change. Complete resection of tumor and regular follow-up are the key to successful treatment.
【作者单位】：四川省人民医院耳鼻咽喉科;四川省人民医院病理科;
【分类号】：R739.62

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