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目的 :探讨鼻内窥镜在鼻内翻性乳头状瘤手术中的价值。方法 :鼻内翻性乳头状瘤患者 2 9例中 ,采用鼻内窥镜手术者 15例 (鼻内窥镜组 ) ,经鼻侧切开手术者 14例 (鼻侧切开组 ) ,并将两种手术结果进行比较。结果 :随访 1.8年。并发症 :鼻内窥镜组 (1例 )明显低于鼻侧切开组 (5例 ) ,P <0 .0 1;住院时间 :鼻内窥镜组 (13.1d)明显短于鼻侧切开组 (2 0 .4d) ,P <0 .0 1;术中出血量 (Ⅰ～Ⅱ级 ) :鼻内窥镜组 (175ml)亦明显少于鼻侧切开组 (5 2 5ml) ,P <0 .0 1。结论 :鼻内窥镜术是治疗Ⅰ～Ⅱ级鼻内翻性乳头状瘤一种较好的方法 ,其主要优点是避免了面部切口 ;对Ⅲ～Ⅳ级病例 ,使用鼻内窥镜术应持谨慎态度 ,鼻侧切开术仍不失为安全、可靠的治疗方法
Objective: To explore the value of nasal endoscopy in the treatment of nasal inverted papilloma. METHODS: Twenty-nine patients with nasal inverted papilloma underwent endoscopic sinus surgery in 15 patients (nasal endoscopy group), 14 patients undergoing nasal surgery (nasal resection group), and The two surgical results were compared. Results: Followed 1.8 years. Complications: nasal endoscopy group (1 case) was significantly lower than the nasal incision group (5 cases), P <0. 01; hospital stay: nasal endoscopy group (13.1d) was significantly shorter than the nasal side (20.4d), P <0.01; intraoperative blood loss (grade Ⅰ ~ Ⅱ): nasal endoscopy group (175ml) was also significantly less than the nasal incision group (525ml) P <0 .0 1. Conclusion: Endoscopic sinus surgery is a good method for the treatment of grade Ⅰ ~ Ⅱ nasal inverted papilloma. Its main advantage is to avoid the facial incision. For patients with grade Ⅲ ~ Ⅳ, endoscopic sinus surgery should be performed Cautious, nasal incision remains a safe and reliable treatment