中国中西医结合耳鼻咽喉科杂志
中國中西醫結閤耳鼻嚥喉科雜誌
중국중서의결합이비인후과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2014年
2期
115-117
,共3页
梁敏志%杨东辉%夏广生%谭向杲
樑敏誌%楊東輝%夏廣生%譚嚮杲
량민지%양동휘%하엄생%담향고
上颌窦%复发性内翻性乳头状瘤%鼻内镜手术%二次手术
上頜竇%複髮性內翻性乳頭狀瘤%鼻內鏡手術%二次手術
상합두%복발성내번성유두상류%비내경수술%이차수술
Maxillary sinus%Recurrent inverting papilloma%Nasal endoscopic surgery%Reoperation
目的:探讨复发性上颌窦内翻性乳头状瘤二次手术治疗策略。方法回顾性分析32例复发性上颌窦内翻性乳头状瘤的临床资料,包括复发并恶变7例。鼻内镜下手术28例,泪前隐窝入路9例,上颌窦内侧壁切除入路13例,扩大上颌窦内侧壁切除入路6例,上颌骨切除术4例。总结疗效,分析其手术治疗策略。结果术后随访13~39个月,治愈29例;复发3例,其中2例经再次手术治愈;死亡1例。结论对于本病,应根据病变侵犯范围合理选择二次手术的手术入路及手术范围,以彻底切除病灶。内镜下多种手术入路可达切除肿瘤目的,可以避免鼻外辅助切口。
目的:探討複髮性上頜竇內翻性乳頭狀瘤二次手術治療策略。方法迴顧性分析32例複髮性上頜竇內翻性乳頭狀瘤的臨床資料,包括複髮併噁變7例。鼻內鏡下手術28例,淚前隱窩入路9例,上頜竇內側壁切除入路13例,擴大上頜竇內側壁切除入路6例,上頜骨切除術4例。總結療效,分析其手術治療策略。結果術後隨訪13~39箇月,治愈29例;複髮3例,其中2例經再次手術治愈;死亡1例。結論對于本病,應根據病變侵犯範圍閤理選擇二次手術的手術入路及手術範圍,以徹底切除病竈。內鏡下多種手術入路可達切除腫瘤目的,可以避免鼻外輔助切口。
목적:탐토복발성상합두내번성유두상류이차수술치료책략。방법회고성분석32례복발성상합두내번성유두상류적림상자료,포괄복발병악변7례。비내경하수술28례,루전은와입로9례,상합두내측벽절제입로13례,확대상합두내측벽절제입로6례,상합골절제술4례。총결료효,분석기수술치료책략。결과술후수방13~39개월,치유29례;복발3례,기중2례경재차수술치유;사망1례。결론대우본병,응근거병변침범범위합리선택이차수술적수술입로급수술범위,이철저절제병조。내경하다충수술입로가체절제종류목적,가이피면비외보조절구。
Objective TTo explore the therapeutic strategy with reoperation on cases with recurrent inverting papilloma in maxillary sinus.Methods A retrospective study was carried out among 32 cases with recurrent inverting papilloma in maxillary sinus, including 7 of relapse accompanied simultaneously with the lesion malignantly transformed, with their clinical data carefully analyzed. All these cases were given surgical treatment again, with 28 cases operated on under nasal endoscope, 9 undergoing the approach via anterior lacrimal recess, 13 via the approach of paries medialis maxillaries resection, 6 via that of enlarged paries medialis maxillaries resection, and 4 via maxillectomy.Results By the end of following up period lasted for 13 to 39 months, 29 cases were cured, and 3 cases with lesion reoccurred once more, among whom 2 were cured via surgery again and 1 died.Conclusions It should be important that to carrying out reoperation for cases with recurrent inverting papilloma in maxillary sinus via a reasonable choice of surgical approach based on the invaded extension of lesion in order to achieve the aim of complete resection of involved tissues. A variety of surgical approach under nasal endoscope can achieve the purpose of tumor resection, with the advantage to avoid doing auxiliary incision from the outside of nose as well.