影响鼻腔鼻窦内翻性乳头状瘤复发的相关因素分析

发布时间：2018-03-19 09:07

  本文选题：鼻腔鼻窦内翻性乳头状瘤　切入点：内镜外科手术　出处：《临床耳鼻咽喉头颈外科杂志》2017年24期 　论文类型：期刊论文

【摘要】：目的:探讨影响鼻腔鼻窦内翻性乳头状瘤(SNIP)复发的危险因素及减少复发的方法。方法:回顾性分析34例SNIP患者的临床资料。均为单侧发病,按Krouse分级方法进行临床分级。均在鼻内镜下手术治疗,其中单纯鼻内镜下肿瘤切除术20例,鼻内镜下联合泪前隐窝入路手术14例。术后随访12~36个月,统计患者复发情况并分析复发的影响因素。结果:34例SNIP患者术后总复发率为17.65%(6/34);单纯鼻内镜下肿瘤切除术复发率25.00%(5/20),鼻内镜下联合泪前隐窝入路手术复发率7.14%(1/14),两者比较差异无统计学意义(χ~2=1.807,P0.05)。Ⅰ、Ⅱ、Ⅲ、Ⅳ级复发率分别为0(0/4)、15.0%(3/20)、33.3%(3/9)和0(0/1),不同分级患者比较,差异无统计学意义(χ~2=2.692,P0.05)。结论:单纯鼻内镜下肿瘤切除术和鼻内镜下联合泪前隐窝入路手术均为治疗SNIP的有效方法。鼻部手术史及肿瘤生发中心是影响患者复发的危险因素。术前进行详细检查、术中彻底切除肿瘤、术后定期内镜检查是减少复发的关键。
[Abstract]:Objective: to investigate the risk factors affecting the recurrence of inverted papilloma of nasal cavity and paranasal sinuses (SNP) and the methods to reduce the recurrence. Methods: the clinical data of 34 patients with SNIP were retrospectively analyzed. According to Krouse classification, all patients were treated by endoscopic sinus surgery, including 20 cases of simple endoscopic resection of tumor and 14 cases of endoscopic combined anterior lacrimal recess approach. The follow-up was 12 ~ 36 months. Results the total recurrence rate of 34 patients with SNIP was 17.65 / 34, the recurrence rate of simple endoscopic resection was 25.00 / 20, and the recurrence rate was 7.14 / 14 / 14 by endoscopic surgery combined with anterior lacrimal recess approach. There was no significant difference between the two groups (蠂 ~ 2, P = 1.807, P 0.05). The recurrence rates of grade 鈪，

本文编号：1633592