不同术式治疗鼻腔鼻窦内翻性

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1、·138·Chin)OtolaryngolIntegratTrad&WestMedi2005,Vol13.No.3不同术式治疗鼻腔鼻窦内翻性乳头状瘤疗效的比较观察姚卓华‘罗育新‘吴先光‘彭立清“陈恩河“丘华光“【摘要】目的比较三种不同手术方式治疗鼻腔鼻窦内翻性乳头状瘤的疗效。方法分别采用鼻侧切开术、改良面中部揭翻径路联合鼻内镜手术及鼻内进路联合鼻内镜手术治疗鼻腔鼻窦内翻性乳头状瘤62例，对其治疗效果进行比较分析。结果经术后随访半年一11年，各组患者症状均消失或减轻。鼻侧切开术36例中复发8例(22.2%)，改良面中部揭翻径路联合鼻内镜手术18例中，复发2例(11.100

2、)，鼻内进路联合鼻内镜手术8例中复发1例(12.5%)。复发者再次手术后治愈。结论改良面中部揭翻径路联合鼻内镜手术是治疗鼻腔鼻窦内翻性乳头状瘤可靠且有效的方法。【关键词】内翻性乳头状瘤;手术治疗;疗效比较AcomparisonstudyonthetherapeuticeffectsofdifferentsurgicalproceduresoninvertingpapillomainnasalcavityandparanasalsinusYAOZhuohua，LUOYuxin，WuXianguang,PENGLiqing，CHENGEnhe,QIUHuaguangTheS

3、econdAffiliatedHospital,MedicalCollegeofShantouUniversity,Guangdong(515041)[Abstract]ObjectiveTocomparethetherapeuticeffectsofsurgeryoninvertingpapillomainnasalcavityandparanasalsinusamongthreekindsofsurgicalprocedures.Methods62caseswiththiskindoflesionweretreatedbyoperations,yespectivel

4、y，eitherbylateralrhinotomy，modifiedmidfacialdeglovingoperationcombinedwithendoscopicsurgery,orintranasalapproachoperationcombinedwithendoscopicsurgery.Then，thetherapeuticeffectsonthetreatedcaseswerecomparativelyanalyzedamongthesesurgicalproceduresbytheendoffollowingupperiodlastedforhalfo

5、neyearto11years.ResultsThereoccurringrateoflesionwas22.20o(8/36)amongthecasesreceivedthetherapyoflateralrhinotomy，itwas11.1%(2/18)amongthosereceivedthetherapyofmodifiedmidfacialdeglovingoperationcombinedwithendoscopicsurgeryandthatwas12.5%(1/8)amongonesreceivedthetherapyofintranasalappro

6、achoperationcombinedwithendoscopicsurgery，whileallthesymptomswereeitherdisappearedorrelievedamongthestudied62casesduringtheperiodoffollowingup.However,thecasessufferinglesionreoccurringwerecuredbyre-operatingtherapy.ConclusionsThetherapyofmodifiedmidfacialdeglovingoperationcombinedwithen

7、doscopicsurgeryismoreeffectiveforthetreatmentofinvertingpapillomainnasalcavityandparanasalsinusthanotherkindsofsurgicalprocedure.[Keywords]Invertingpapilloma;Surgicaltherapy;Therapeuticeffectcomparison我们于1990年1月一2002年12月共采用三种单侧病变。临床表现为不同程度的涕血，渐进性鼻不同手术方式治疗鼻腔鼻窦内翻性乳头状瘤62例，塞，