CAJ | 학술논문

目的评价鼻内镜下各种手术方法治疗鼻-鼻窦内翻性乳头状瘤(IP)的效果.方法回顾性分析58例有完整随访资料的经鼻内镜手术治疗的鼻-鼻窦IP患者,统计分析不同患者类型、Krouse分期或手术方法的复发率.结果随访(68±3)个月,6例术后复发.其中初发和复发患者的复发率分别为9.8%(4/41)、11.8%(2,17);Krouse分期Ⅰ期、Ⅱ期、Ⅲ期和Ⅳ期患者的复发率分别为11.1%(1,9)、6.7%(2,30)、6.7%(1/15)和50.0%(2/4);单纯鼻内镜、鼻内镜辅助柯一陆手术进路术与鼻内镜辅助鼻侧切开进路术复发率分别为15.6%(5/32)、4.2%(1/24)和O(O/2).不同患者类型、Krouse分期或手术方法的复发率比较差异均无统计学意义(均P＞0.05).结论经鼻内镜手术治疗鼻-鼻窦IP安全、有效、微创,根据不同患者类型以及分期采用不同的内镜手术方法是治疗成功的关键.
목적 평개비내경하각충수술방법치료비-비두내번성유두상류(IP)적효과.방법 회고성분석58례유완정수방자료적경비내경수술치료적비-비두IP환자,통계분석불동환자류형、Krouse분기혹수술방법적복발솔.결과 수방(68±3)개월,6례술후복발.기중초발화복발환자적복발솔분별위9.8%(4/41)、11.8%(2,17);Krouse분기Ⅰ기、Ⅱ기、Ⅲ기화Ⅳ기환자적복발솔분별위11.1%(1,9)、6.7%(2,30)、6.7%(1/15)화50.0%(2/4);단순비내경、비내경보조가일륙수술진로술여비내경보조비측절개진로술복발솔분별위15.6%(5/32)、4.2%(1/24)화O(O/2).불동환자류형、Krouse분기혹수술방법적복발솔비교차이균무통계학의의(균P＞0.05).결론 경비내경수술치료비-비두IP안전、유효、미창,근거불동환자류형이급분기채용불동적내경수술방법시치료성공적관건.
Objective To evaluate the efficacy of various nasal endoscopic surgery for sinonasal inverted papilloma (SIP).Methods Complete follow-up data of 58 cases of sinonasal inverted papilloma were retrospectively analyzed.Patient types as well as Krouse staging and rates of recurrence with various surgery were statistically analyzed.Results During the follow-up for (68±3) months, SIP recurred in 6 cases.The rate of recurrence was 9.8% (4/41) in cases with primary diagnosis vs 11.8% (2/17) in those with relapsing tumors, respectively.Recurrence rates with stages Ⅰ , Ⅱ , Ⅲ and Ⅳ tumors were 11.1% (1/9),6.7% (2/30), 6.7% (1/15) and 50.0% (2/4) respectively.For simple nasal endoscopic surgery, endoscopyassisted Caldwell-Luc's surgery, and endoscopy-assisted lateral rhinotomy, the recurrence rates were 15.6% (5/32) , 4.2% (1/24) and 0 (0/2), respectively.There was no significant difference among patient types,Krouse staging or surgical methods.Conclusions Nasal endoscopic surgery is a safe, effective and minimally invasive method for sinonasal inverted papilloma.Selection of endoscopic surgery according to patient type and stage is critical for a successful treatment.