本文選題：鼻腔鼻竇內(nèi)翻性乳頭狀瘤　切入點(diǎn)：內(nèi)鏡外科手術(shù)　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(fù)發(fā)的危險(xiǎn)因素及減少?gòu)?fù)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(cè)發(fā)病,按Krouse分級(jí)方法進(jìn)行臨床分級(jí)。均在鼻內(nèi)鏡下手術(shù)治療,其中單純鼻內(nèi)鏡下腫瘤切除術(shù)20例,鼻內(nèi)鏡下聯(lián)合淚前隱窩入路手術(shù)14例。術(shù)后隨訪12~36個(gè)月,統(tǒng)計(jì)患者復(fù)發(fā)情況并分析復(fù)發(fā)的影響因素。結(jié)果:34例SNIP患者術(shù)后總復(fù)發(fā)率為17.65%(6/34);單純鼻內(nèi)鏡下腫瘤切除術(shù)復(fù)發(fā)率25.00%(5/20),鼻內(nèi)鏡下聯(lián)合淚前隱窩入路手術(shù)復(fù)發(fā)率7.14%(1/14),兩者比較差異無統(tǒng)計(jì)學(xué)意義(χ~2=1.807,P0.05)。Ⅰ、Ⅱ、Ⅲ、Ⅳ級(jí)復(fù)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(jí)患者比較,差異無統(tǒng)計(jì)學(xué)意義(χ~2=2.692,P0.05)。結(jié)論:單純鼻內(nèi)鏡下腫瘤切除術(shù)和鼻內(nèi)鏡下聯(lián)合淚前隱窩入路手術(shù)均為治療SNIP的有效方法。鼻部手術(shù)史及腫瘤生發(fā)中心是影響患者復(fù)發(fā)的危險(xiǎn)因素。術(shù)前進(jìn)行詳細(xì)檢查、術(shù)中徹底切除腫瘤、術(shù)后定期內(nèi)鏡檢查是減少?gòu)?fù)發(fā)的關(guān)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(hào)：1633592