發(fā)布時間：2018-03-19 09:07

  本文選題：鼻腔鼻竇內(nèi)翻性乳頭狀瘤　切入點：內(nèi)鏡外科手術　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年24期 　論文類型：期刊論文

【摘要】：目的:探討影響鼻腔鼻竇內(nèi)翻性乳頭狀瘤(SNIP)復發(fā)的危險因素及減少復發(fā)的方法。方法:回顧性分析34例SNIP患者的臨床資料。均為單側發(fā)病,按Krouse分級方法進行臨床分級。均在鼻內(nèi)鏡下手術治療,其中單純鼻內(nèi)鏡下腫瘤切除術20例,鼻內(nèi)鏡下聯(lián)合淚前隱窩入路手術14例。術后隨訪12~36個月,統(tǒng)計患者復發(fā)情況并分析復發(fā)的影響因素。結果:34例SNIP患者術后總復發(fā)率為17.65%(6/34);單純鼻內(nèi)鏡下腫瘤切除術復發(fā)率25.00%(5/20),鼻內(nèi)鏡下聯(lián)合淚前隱窩入路手術復發(fā)率7.14%(1/14),兩者比較差異無統(tǒng)計學意義(χ~2=1.807,P0.05)。Ⅰ、Ⅱ、Ⅲ、Ⅳ級復發(fā)率分別為0(0/4)、15.0%(3/20)、33.3%(3/9)和0(0/1),不同分級患者比較,差異無統(tǒng)計學意義(χ~2=2.692,P0.05)。結論:單純鼻內(nèi)鏡下腫瘤切除術和鼻內(nèi)鏡下聯(lián)合淚前隱窩入路手術均為治療SNIP的有效方法。鼻部手術史及腫瘤生發(fā)中心是影響患者復發(fā)的危險因素。術前進行詳細檢查、術中徹底切除腫瘤、術后定期內(nèi)鏡檢查是減少復發(fā)的關鍵。
[Abstract]:Objective: to investigate the risk factors affecting the recurrence of inverted papilloma of nasal cavity and paranasal sinuses (SNP) and the methods to reduce the recurrence. Methods: the clinical data of 34 patients with SNIP were retrospectively analyzed. According to Krouse classification, all patients were treated by endoscopic sinus surgery, including 20 cases of simple endoscopic resection of tumor and 14 cases of endoscopic combined anterior lacrimal recess approach. The follow-up was 12 ~ 36 months. Results the total recurrence rate of 34 patients with SNIP was 17.65 / 34, the recurrence rate of simple endoscopic resection was 25.00 / 20, and the recurrence rate was 7.14 / 14 / 14 by endoscopic surgery combined with anterior lacrimal recess approach. There was no significant difference between the two groups (蠂 ~ 2, P = 1.807, P 0.05). The recurrence rates of grade 鈪，

本文編號：1633592