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目的:分析鼻内镜手术在鼻腔鼻窦内翻性乳头状瘤外科治疗中的应用。方法:20例鼻腔鼻窦内翻性乳头状瘤患者,于鼻内镜下(或结合下鼻道开窗及犬齿窝穿刺术)行肿瘤切除术,观察手术效果。结果:20例患者中,术后仅有4例出现局部复发,再次鼻内镜下局部清理后治愈。本术式可用于大多数比较局限的鼻腔鼻窦内翻性乳头状瘤的切除,具有损伤小,不遗留面部瘫痕的优点。结论:对经严格选择的鼻腔鼻窦内翻性乳头状瘤病例,鼻内镜下可较准确地判断肿瘤的原发部位及其范围,能够最大程度的完整切除肿瘤。
Objective: To analyze the application of nasal endoscopic surgery in surgical treatment of inverted papilloma of nasal cavity and paranasal sinuses. Methods: Twenty patients with inverted papilloma of nasal cavity and paranasal sinuses underwent endoscopic resection (or combined with opening of lower nasal meatus and canine puncture) to observe the effect of surgery. RESULTS: Of the 20 patients, only 4 had local recurrence after surgery and were cured after local cleansing under nasal endoscopy. This surgical method can be used for most of the relatively limited resection of nasal papillary sinuses papilloma, with small damage, leaving no advantage of facial scars. Conclusion: For strictly selected cases of inverted papilloma of the nasal cavity and paranasal sinuses, the primary site and extent of the tumor can be accurately determined under nasal endoscope, and the tumor can be completely resected with a maximum degree.