中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
27期
313-314
,共2页
王海瑞%刘伟杰%赵俊亭%许波
王海瑞%劉偉傑%趙俊亭%許波
왕해서%류위걸%조준정%허파
鼻腔鼻窦内翻性乳头状瘤%鼻内镜手术%鼻侧切术
鼻腔鼻竇內翻性乳頭狀瘤%鼻內鏡手術%鼻側切術
비강비두내번성유두상류%비내경수술%비측절술
Sinonasal inverted papilloma%Endoscopic sinus surgery%Nasal resection
目的：研究三种手术方式治疗鼻腔鼻窦内翻性乳头状瘤疗效。方法选择2008年3月至2013年1月我院收治的109例鼻腔鼻窦内翻性乳头状瘤患者进行研究。按照随机数表法，随机分为3组，分别采用鼻内镜手术、鼻内镜联合柯-陆氏进路和鼻侧切术三种手术方式对患者进行治疗，每组分别为41例、35例33例。结果术后，发现鼻内镜联合柯-陆氏进路组中Ⅲ级患者的术后肿瘤复发率（14.3%）明显低于鼻内镜组（22.2%），两组比较有统计学意义（P＜0.05）；鼻内镜组中Ⅱ级、Ⅲ级患者的术后肿瘤复发率（10.5%，22.2%）明显低于鼻侧切术组（27.8%，28.6%），两组比较有统计学意义（P＜0.05）。术后，发现三组患者的术后并发症发生情况有显著性差异（P＜0.05），鼻内镜组中Ⅱ级患者的术后并发症发生率（10.5%）明显低于鼻侧切术组患者（22.2%），两组比较有统计学意义（P＜0.05）。鼻内镜联合柯-陆氏进路组中Ⅱ级患者的术后并发症发生率（10.5%）明显低于鼻侧切术组患者（22.2%），两组比较有统计学意义（P＜0.05）。鼻内镜组中Ⅲ级患者的术后并发症发生率（11.1%）明显低于鼻内镜联合柯-陆氏进路组（14.3%），两组比较有统计学意义（P＜0.05）。结论鼻内镜手术在I~Ⅱ级鼻腔鼻窦内翻性乳头状瘤患者的治疗中，效果良好。对于Ⅲ级鼻腔鼻窦内翻性乳头状瘤的患者进行治疗，鼻内镜联合柯-陆氏进路效果良好。
目的：研究三種手術方式治療鼻腔鼻竇內翻性乳頭狀瘤療效。方法選擇2008年3月至2013年1月我院收治的109例鼻腔鼻竇內翻性乳頭狀瘤患者進行研究。按照隨機數錶法，隨機分為3組，分彆採用鼻內鏡手術、鼻內鏡聯閤柯-陸氏進路和鼻側切術三種手術方式對患者進行治療，每組分彆為41例、35例33例。結果術後，髮現鼻內鏡聯閤柯-陸氏進路組中Ⅲ級患者的術後腫瘤複髮率（14.3%）明顯低于鼻內鏡組（22.2%），兩組比較有統計學意義（P＜0.05）；鼻內鏡組中Ⅱ級、Ⅲ級患者的術後腫瘤複髮率（10.5%，22.2%）明顯低于鼻側切術組（27.8%，28.6%），兩組比較有統計學意義（P＜0.05）。術後，髮現三組患者的術後併髮癥髮生情況有顯著性差異（P＜0.05），鼻內鏡組中Ⅱ級患者的術後併髮癥髮生率（10.5%）明顯低于鼻側切術組患者（22.2%），兩組比較有統計學意義（P＜0.05）。鼻內鏡聯閤柯-陸氏進路組中Ⅱ級患者的術後併髮癥髮生率（10.5%）明顯低于鼻側切術組患者（22.2%），兩組比較有統計學意義（P＜0.05）。鼻內鏡組中Ⅲ級患者的術後併髮癥髮生率（11.1%）明顯低于鼻內鏡聯閤柯-陸氏進路組（14.3%），兩組比較有統計學意義（P＜0.05）。結論鼻內鏡手術在I~Ⅱ級鼻腔鼻竇內翻性乳頭狀瘤患者的治療中，效果良好。對于Ⅲ級鼻腔鼻竇內翻性乳頭狀瘤的患者進行治療，鼻內鏡聯閤柯-陸氏進路效果良好。
목적：연구삼충수술방식치료비강비두내번성유두상류료효。방법선택2008년3월지2013년1월아원수치적109례비강비두내번성유두상류환자진행연구。안조수궤수표법，수궤분위3조，분별채용비내경수술、비내경연합가-륙씨진로화비측절술삼충수술방식대환자진행치료，매조분별위41례、35례33례。결과술후，발현비내경연합가-륙씨진로조중Ⅲ급환자적술후종류복발솔（14.3%）명현저우비내경조（22.2%），량조비교유통계학의의（P＜0.05）；비내경조중Ⅱ급、Ⅲ급환자적술후종류복발솔（10.5%，22.2%）명현저우비측절술조（27.8%，28.6%），량조비교유통계학의의（P＜0.05）。술후，발현삼조환자적술후병발증발생정황유현저성차이（P＜0.05），비내경조중Ⅱ급환자적술후병발증발생솔（10.5%）명현저우비측절술조환자（22.2%），량조비교유통계학의의（P＜0.05）。비내경연합가-륙씨진로조중Ⅱ급환자적술후병발증발생솔（10.5%）명현저우비측절술조환자（22.2%），량조비교유통계학의의（P＜0.05）。비내경조중Ⅲ급환자적술후병발증발생솔（11.1%）명현저우비내경연합가-륙씨진로조（14.3%），량조비교유통계학의의（P＜0.05）。결론비내경수술재I~Ⅱ급비강비두내번성유두상류환자적치료중，효과량호。대우Ⅲ급비강비두내번성유두상류적환자진행치료，비내경연합가-륙씨진로효과량호。
Objective To study the efifcacy of three surgical treatment of nasal inverted papilloma . Methods 180 cases of sinonasal inverted papilloma patients from March 2009 to March 2012 were studied. They were randomly divided into three groups, each group had 60 patients.They were used endoscopic sinus surgery, nasal endoscopy and Ke Lu's approach and nasal resection of three surgical methods to treat patients. Results Postoperative nasal endoscopy and Ke Lu's approach the group of patients with stage III tumor recurrence rate (14.3%) was signiifcantly lower than the the nasal endoscopy group (22.2%), the two groups were statistically signiifcant (P<0.05);nasal endoscopy group class II, class III patients with postoperative tumor recurrence rate (10.5%, 22.2%) was signiifcantly lower than the nasal resection group (27.8%, 28.6%), the two groups was statistically signiifcant (P<0.05). After three groups of patients with postoperative complications significant difference (P<0.05), nasal endoscopy group of patients with grade II incidence of postoperative complications (10.5%) was signiifcantly lower than the nasal resection group patients (22.2%), the two groups was statistically signiifcant (P<0.05). Nasal endoscopy and Ke Lu's approach group II level in patients with postoperative complication rate (10.5%) was signiifcantly lower than the nasal resection patients (22.2%), the two groups was statistically signiifcant (P<0.05) . The nasal endoscopic group class III patients with postoperative complication rate (11.1%) was signiifcantly lower than the nasal endoscopy Ke Lu's approach group (14.3%), the two groups was statistically signiifcant (P<0.05).Conclusion Endoscopic sinus surgery I to level II sinonasal inverted papilloma in the treatment of patients with good results. Treatment for patients with level III sinonasal inverted papilloma,the nasal endoscopy Ke Lu's into the road has good effect.
