CAJ | 학술논문

目的：观察鼻内镜下双径路切除治疗上颌窦内翻性乳头状瘤的疗效。方法22例确诊为内翻性乳头状瘤患者，采用鼻内镜下中鼻道-尖牙窝双径路手术清除上颌窦肿瘤组织。术中见肿瘤基底部位于上颌窦内下壁者9例，位于前壁者3例，位于外侧壁者5例，位于上颌窦开口者3例，窦腔弥散性病变者2例。术后随访18个月。结果22例患者2例复发，复发率为9%。结论对于上颌窦内翻性乳头状瘤，尤其是原发于上颌窦前、内下壁及外下角处的肿瘤，采用鼻内镜下中鼻道-尖牙窝双径路手术可获得良好的视野和手术操作空间，达到彻底切除肿瘤，并最大程度保留鼻腔正常生理功能的目的。
목적：관찰비내경하쌍경로절제치료상합두내번성유두상류적료효。방법22례학진위내번성유두상류환자，채용비내경하중비도-첨아와쌍경로수술청제상합두종류조직。술중견종류기저부위우상합두내하벽자9례，위우전벽자3례，위우외측벽자5례，위우상합두개구자3례，두강미산성병변자2례。술후수방18개월。결과22례환자2례복발，복발솔위9%。결론대우상합두내번성유두상류，우기시원발우상합두전、내하벽급외하각처적종류，채용비내경하중비도-첨아와쌍경로수술가획득량호적시야화수술조작공간，체도철저절제종류，병최대정도보류비강정상생리공능적목적。
Objective To explore the operation method for therapy of nasal inverted papilloma in maxillary sinus and lowering postoperative recurrence rate. Methods 22 cases of nasal inverted papilloma diagnosed in clinic and pathology were involved in this study. The tumor basis of 9 cases were located on inner-under wall of maxillary sinus ,3 cases on anterior wall,5 cases on lateral wall, 3 cases at orifice of maxillary sinus ,and 2 cases diffysed around sinus. Results Recurrence rate was 9% (2 out of 22 cases).Conclusion To nasal inverted papilloma in maxillary sinus, especially the tumors primary grow on anterior wall、inner-under wall and lateral wall,using endoscopic middle meatus-canine fossa double path can obtain vast vision and good operation space,achieving the object that tumors are resected completely and keep normal physiological function of nasal cavity to the greatest extent.