鼻腔鼻窦内翻性乳头状瘤临床分析 |
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引用本文: | 邓仁跃,吴展元,肖伯奎,常伟,马哲兰.鼻腔鼻窦内翻性乳头状瘤临床分析[J].武汉大学学报(医学版),1998(1). |
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作者姓名: | 邓仁跃 吴展元 肖伯奎 常伟 马哲兰 |
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作者单位: | Department of OtolaryngologyHead and Neck Surgery,First Affiliated Hospital, Hubei Medical University,Wuhan 430060,China |
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摘 要: | 报告鼻腔鼻窦内翻性乳头状瘤21例,男17例,女4例,男女之比为4.25∶1。平均年龄44.8岁,高发年龄组为31~40岁组,占47.6%。最常见的临床症状是鼻阻塞,对单侧鼻腔新生物进行多部位多次活检,可在术前确诊。治疗时整块切除肿瘤和上颌窦内侧壁,可降低术后复发,本组2例经鼻内手术切除肿瘤,19例经鼻侧切开并切除整块肿瘤及上颌窦内侧壁,其中前者1例(50%)复发,后者4例(21.8%)复发,总复发率为23.8%。其中3例发生癌变,其癌变率为14.3%。
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关 键 词: | 鼻 乳头状瘤 诊断 治疗 |
A Clinical Analysis of Inverting Papilloma of the Nasal Cavity and Paranasal Sinuses |
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Abstract: | ? A retrospective study was performed on 21 patients treat at the First Affiliated Hospital of Hubei Medical University over the fifteen years with a pathologic diagnosis of inverting papilloma of the nasal cavity and paranasal sinuses. The mean age at presentation was 44.8 years, with a male to fermale ratio of 4.25∶1. The most common symptom at presentation was nasal obstruction. Patients treated with a lateral rhinotomy and medical maxillectomy had a recurrence rate of 21.8 percent. Those treated with a less aggressive operation had a recurrence rate of 50 percent. The malignant transformation rate from inverting papilloma to squamous cell carcinoma was 14.3 percent. |
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Keywords: | MeSH nose papilloma diagnosis therapy |
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