鼻内窥镜在鼻内翻性乳头状瘤手术中的价值

目的 :探讨鼻内窥镜在鼻内翻性乳头状瘤手术中的价值。方法 :鼻内翻性乳头状瘤患者 2 9例中 ,采用鼻内窥镜手术者 15例 (鼻内窥镜组 ) ,经鼻侧切开手术者 14例 (鼻侧切开组 ) ,并将两种手术结果进行比较。结果 :随访 1.8年。并发症 :鼻内窥镜组 (1例 )明显低于鼻侧切开组 (5例 ) ,P <0 .0 1;住院时间 :鼻内窥镜组 (13.1d)明显短于鼻侧切开组 (2 0 .4d) ,P <0 .0 1;术中出血量 (Ⅰ～Ⅱ级 ) :鼻内窥镜组 (175ml)亦明显少于鼻侧切开组 (5 2 5ml) ,P <0 .0 1。结论 :鼻内窥镜术是治疗Ⅰ～Ⅱ级鼻内翻性乳头状瘤一种较好的方法 ,其主要优点是避免了面部切口 ;对Ⅲ～Ⅳ级病例 ,使用鼻内窥镜术应持谨慎态度 ,鼻侧切开术仍不失为安全、可靠的治疗方法

The value of nasal endoscopy in the surgery of the nasal inverted papillomas

OBJECTIVE: To investigate the value of nasal endoscopy in the surgery of the nasal inverted papillomas. METHOD: 29 patients with nasal inverted papilloma, 15 cases of them were applied nasal endoscopic surgery (nasal endoscopic surgery group), 14 cases were applied nasal lateral incision surgery(nasal lateral incision group), and compared the results of the two surgery. RESULT: Follow-up 1.8 years. Complications: nasal endoscopic surgery group(1 case) was obviously lower than nasal lateral incision group(5 cases), P < 0.01; The hospitalization time: nasal endoscopic surgery group(13.1 d) was obviously short than nasal lateral incision group(20.4 d), P < 0.01; The volume of blood during surgery(I-II stage): nasal endoscopic surgery group(175 ml) was obviously lower than nasal lateral incision group(525 ml), P < 0.01; CONCLUSION: The nasal endoscopy was a better method for treating I-II stage nasal inverted papilloma, and the major advantage is an incision of the face can be avoided. As to III-IV stage disease, should be carefully selected endoscopic surgery. Nasal lateral incision surgery still was a safe and reliable therapeutic method.