摘要
目的:评估鼻内镜手术对于鼻腔鼻窦良恶性肿瘤的治疗效果及应用价值。方法:收集我科采用鼻内镜或鼻内镜辅助手术治疗的鼻腔鼻窦良恶性肿瘤共109例,并进行回顾性分析。结果:经随访12-60个月,本组109例患者中,应用单纯鼻内镜下治疗的4例鼻腔鼻窦肿瘤患者术后出现复发,1例失访,复发率为5%;鼻内镜联合柯陆氏入路手术的16例患者中未出现术后复发;2例鼻内镜辅助鼻侧切开手术治疗的恶变内翻乳头状瘤患者术后1年出现局部复发及广泛脑膜侵犯死亡;鼻内镜辅助鼻侧切开手术中的2例恶性黑色素瘤其中1例术前已出现颊部及颈部淋巴结转移,于术后8个月-1.5年中出现远处转移后死亡。结论:鼻内镜手术已经逐渐成为多种鼻腔鼻窦良性肿瘤以及部分恶性肿瘤的首选治疗方式。
Objective： To appraise the indication of Endoscopic nasal surgery in tumors of the Sinonasal Cavities to reduce the relapse rate.Methods： One hundred and nine cases with tumors of the Sinonasal Cavities were retrospectively reviewed in the study.Results： Four of the 109 cases with tumors of the Sinonasal Cavities removing completely through Endoscopic nasal surgery were palindromia.The relapse rate was 5%.16 cases were not recurrence after the surgery of endiscopic plus Caldwell-Luc.Two cases of NIP with canceration died during 12 months after operation because of local recurrence and widespread metastasis.Two cases of malignant melanoma died due to distant metastasis form eight months to one and a half years after operation.Conclusion： It may get the better therapeutic effect in patients with Endoscopic nasal surgery,if the indications is appropriate.And the endoscopic nasal surgery has gradually become a variety of nasal sinus benign and malignant tumors of the first choice of treatment.
出处
《现代生物医学进展》
CAS
2013年第13期2502-2506,共5页
Progress in Modern Biomedicine
关键词
鼻腔
恶性肿瘤
鼻内镜技术
Nasal
Malignant Tumor
Endoscopic nasal surgery
