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鼻腔鼻窦内翻性乳头状瘤的临床分期及术式选择
引用本文:王艳杰,耿志刚,赵长青,安云芳,丁雪微,张竞莹.鼻腔鼻窦内翻性乳头状瘤的临床分期及术式选择[J].中国中西医结合耳鼻咽喉科杂志,2020(1):75-79.
作者姓名:王艳杰  耿志刚  赵长青  安云芳  丁雪微  张竞莹
作者单位:山西医科大学;山西医科大学第二医院耳鼻咽喉头颈外科
基金项目:国家自然科学基金(No:81670914,81870707)。
摘    要:鼻腔鼻窦内翻性乳头状瘤(sinonasal inverted papilloma,SNIP)是鼻腔最常见的良性肿瘤,三个特征使SNIP与其它鼻腔肿瘤有很大的不同:局部破坏性大,复发率较高,有癌变可能。SNIP分期至关重要,其在SNIP术式选择以及预后评估方面具有公认的价值,但目前还没有普遍接受的分期系统。手术是SNIP首选治疗方式,术式可分为鼻外入路、鼻内镜入路以及联合入路,但是切除SNIP的最佳术式仍然存在争议。本文对SNIP分期系统以及术式管理的最新进展进行综述。

关 键 词:鼻腔鼻窦内翻性乳头状瘤  分期系统  术式选择  鼻内镜手术  复发

The clinical classification systems and surgical methods for sinonasal inverted papilloma
WANG Yanjie,GENG Zhigang,ZHAO Changqing,AN Yunfang,DING Xuewei,ZHANG Jingying.The clinical classification systems and surgical methods for sinonasal inverted papilloma[J].Chinese Journal of Otorhinolaryngology of Integrated Traditional and Western Medicine,2020(1):75-79.
Authors:WANG Yanjie  GENG Zhigang  ZHAO Changqing  AN Yunfang  DING Xuewei  ZHANG Jingying
Institution:(Shanxi Medical University,Taiyuan,Shanxi,030000,China)
Abstract:Sinonasal inverted papilloma(SNIP)is the most common benign sinonasal tumor.Three characteristics of this tumor differentiate itself from other sinonasal tumors with a relatively strong potential for local destruction,high rate of recurrence and a risk of carcinomatous evolution.Staging systems play a significant role in the management of SNIP,especially in relation to prognosis evaluation and treatment assessment.But there is currently no universally accepted system.The optimum choice for SNIP is surgery,which can be divided into extranasal,endoscopic and combined approaches,but selecting the best surgical approach for resection of SNIP still remains a challenge.This review aims to provide the status of the latest knowledge regarding staging systems and surgical treatment of SNIP.
Keywords:Sinonasal inverted papilloma  Staging system  Surgical management  Endoscopic approach  Recurrence
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