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目的探讨晚期鼻腔鼻窦恶性肿瘤内镜外科治疗的临床疗效。方法选择晚期鼻腔鼻窦恶性肿瘤患者84例,随机分为内镜组和开放组各42例。内镜组患者采用鼻内镜手术治疗,开放组患者采用传统的开放式手术治疗。结果内镜组患者术后的无瘤生存率及总生存率均明显优于开放组(P<0.05),术后并发症的发生率明显低于开放组(P<0.05)。结论晚期鼻腔鼻窦恶性肿瘤患者使用鼻内镜手术进行治疗,可以有效的提高患者的术后生存率,降低术后并发症的发生率,值得临床推广。
Objective To investigate the clinical effect of endoscopic surgery for advanced nasal sinus cancer. Methods 84 patients with advanced nasal sinus cancer were randomly divided into endoscopic group and open group of 42 cases. Patients in the endoscopic group were treated with endoscopic surgery, while those in the open group were treated with traditional open surgery. Results The tumor-free survival rate and overall survival rate of the endoscopic group were significantly better than that of the open group (P <0.05). The incidence of postoperative complications was significantly lower than that of the open group (P <0.05). Conclusions The treatment of advanced nasal sinus cancer patients with endoscopic sinus surgery can effectively improve the postoperative survival rate and reduce the incidence of postoperative complications, which is worthy of clinical promotion.