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目的探讨鼻腔鼻窦内翻性乳头状瘤与鼻息肉并存的临床诊断及治疗方法。方法回顾性分析本科2009～2012年收集的鼻腔鼻窦内翻性乳头状瘤与鼻息肉并存病例5例,术前活检诊断为鼻息肉,术后病理诊断为内翻性乳头状瘤,则再次按乳头状瘤行扩大手术治疗,术后定期按时复诊。结果 1例在术后3个月时可疑复发,经处理后未见复发,所有病例随诊6个月至1年以上均未见复发,鼻窦引流通畅。结论鼻腔鼻窦内翻性乳头状瘤与鼻息肉并存的病例,在鼻内镜下按照乳头状瘤切除方法治疗,预后较好。
Objective To investigate the clinical diagnosis and treatment of nasal polyps with inverted papilloma and nasal polyps. Methods Retrospective analysis of undergraduate nasal sinus inverted papilloma collected from 2009 to 2012 and 5 cases of nasal polyp coexisting cases, preoperative biopsy diagnosed as nasal polyps, postoperative pathological diagnosis of inverted papilloma, then press the Papilloma line expansion surgery, regular follow-up after surgery. Results One case had suspicious recurrence 3 months after operation. No recurrence was found after treatment. All cases were followed up for 6 months to over 1 year without recurrent sinus drainage. Conclusions The coexistence of inverted papilloma and nasal polyps in nasal sinus is treated by endoscopic endoscopic papilloma resection and the prognosis is good.