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目的:探讨采用鼻内镜技术切除鼻内翻性乳头状瘤(NIP)的方法以及手术疗效的影响因素。方法:对1998~2003年间在我科行内镜下NIP切除术并且坚持随访的23例患者的临床资料进行分析。结果:23例均在内镜下完整切除肿瘤。除1例术后4个月复发后经鼻侧切开结合术后放疗治愈外,其余患者在随访期间均无复发。结论:采用鼻内镜手术治疗NIP有良好的效果,是治疗NIP的首选术式。但是,选择合适的病例、详细的术前检查、采用合适的手术方式等因素乃是影响手术疗效的关键,应予以足够重视。
Objective: To explore the method of nasal endoscopic resection of nasal inverted papilloma (NIP) and the influencing factors of the curative effect. Methods: The clinical data of 23 patients who underwent endoscopic NIP resection from 1998 to 2003 and who were followed up were analyzed. Results: Twenty-three patients underwent endoscopic resection of the tumor completely. Except for one case of recurrence after 4 months of operation, the patients were cured by nasal incision combined with postoperative radiotherapy. All the other patients had no recurrence during follow-up. Conclusion: Endoscopic sinus surgery for the treatment of NIP has a good effect, is the preferred surgical treatment of NIP. However, selecting appropriate cases, detailed preoperative examination, the use of appropriate surgical methods and other factors that affect the surgical efficacy of the key, should be given enough attention.