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鼻腔鼻窦内翻性乳头状瘤21例分析
引用本文:陈天会,安伟,王世飞,丁丹. 鼻腔鼻窦内翻性乳头状瘤21例分析[J]. 遵义医学院学报, 2001, 24(4): 330-331
作者姓名:陈天会  安伟  王世飞  丁丹
作者单位:遵义医学院附属医院,耳鼻咽喉科,贵州,遵义,563003
摘    要:
目的 探讨彻底切除鼻腔鼻窦内翻性乳头瘤(IP),降低术后复发率的手术方法。方法 21例鼻腔鼻窦IP施行以下术式摘除肿瘤;鼻侧切开6例,柯-陆术式5例,鼻腔径路3例,鼻内窥镜手术7例。结果 术后随访12-38mo,21例中复发5例(23.8%),癌变1例(4.7%),治愈率76.2%。结论 应根据肿瘤范围采取不同术式,术中辅以电刀电凝可减少复发。经鼻内窥镜手术具有较好的使用价值。

关 键 词:内翻性乳头状瘤 鼻腔鼻窦 外科手术 手术方法 病例分析
文章编号:1000-2715(2001)04-0330-02
修稿时间:2001-06-23

Report of 21 cases of nasal cavity and nasal sinuses inverted papilloma
CHEN Tian hui,AN Wei,WANG Shi fei,DING Dan. Report of 21 cases of nasal cavity and nasal sinuses inverted papilloma[J]. Acta Academiae Medicine Zunyi, 2001, 24(4): 330-331
Authors:CHEN Tian hui  AN Wei  WANG Shi fei  DING Dan
Abstract:
Obiective To investigate resection nasal inverted papilloma (IP) and to decreuse the recurrence of operation. Methods Twenty one patients were used following procedure to resection tumor:Lateral Rhinotomy 6 cases,Caldwell Luc 5 cases,through nasal cavity 3 cases, endoscopic surgery 7 cases. Results All patients were followed up 12 38 months. There were 5 cases recurrence, one case changed into malignancy. Conclusions According to the tumor extent we should use different operation methods. The application of shaver system could decrease recurrence and bleeding during operation. Endoscopic surgery is valuable in treatment nasal IP. [
Keywords:inverted papilloma  nasal cavity and sinuses  surgery
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