鼻腔和鼻窦内翻性乳头状瘤74例分析

１９８０～１９９１年收治鼻腔、鼻窦内翻性乳头状瘤（下称ＩＰ）７４例，全部为单侧发病，平均年龄４５．９岁。采用鼻内或鼻内＋Ｃａｌｄｗｅｌｌ－Ｌｕｃ手术或鼻侧切开术＋液氮冷冻治疗，总复发率３５．２％，其中恶变率为２１．６％（１６／７４），作者认为本病术前应作详细的影像学检查，尔后选择治疗。如病变局限，应在鼻内窥镜下作鼻内保守性手术，病变广泛或复发的病历应作鼻侧切开，内侧上颌骨摘除，术中采用液氮冷冻治疗，术后密切随访。

Inverted Papilloma of the Nasal Cavity and Nasal Sinus. An Analysis of 74 Cases

A group of 74 cases with inverted papilloma (IP) of the nasal cavity and paranasal sinus were reported. All these patients had unilateral disease. The average age was 45.9 years. Treatment consisted of intranasal removal in conjunction with Caldwell-Luc procedure, or lateral rhinotomy plus liquid nitrogen cryotherapy. Recurrence rate was 35.2% and malignant change rate was 21. 6% .Thorough X-ray examination should be performed before surgery. For limited lesion. intranasal conservative surgery through intranasal endoscope might be contemplated. For extensive lesion of recurrent cases lateral rhinotomy with medial maxillectomy is required. Liquid nitrogen cryotherapy can be performed during the operation. Close follow-up is mandatory.