国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
7期
928-932
,共5页
内翻性乳头状瘤%鼻内镜手术%鼻侧切开术
內翻性乳頭狀瘤%鼻內鏡手術%鼻側切開術
내번성유두상류%비내경수술%비측절개술
Inerted papilloma%Endoscopic sinus surgery%Nasal lateral incision
目的 分析鼻内镜手术、鼻侧切开手术治疗鼻腔鼻窦内翻性乳头状瘤的临床疗效,为临床选择手术方式提供依据.方法 对我院71例行手术治疗的鼻腔鼻窦内翻性乳头状瘤患者的疗效进行回顾性分析,其中42例行鼻内镜手术,29例行鼻侧切开手术.观察两种术式的术后复发率、术中出血量、并发症情况.结果 鼻内镜手术组术中出血量、术后并发症及肿瘤复发率均显著少于鼻侧切开手术组(P＜0.05).结论 鼻内窥镜下手术治疗鼻腔鼻窦内翻性乳头状瘤具有术后复发率低、术中出血量少、并发症少、无面部疤痕、肿瘤切除彻底等优点,值得临床推广.
目的 分析鼻內鏡手術、鼻側切開手術治療鼻腔鼻竇內翻性乳頭狀瘤的臨床療效,為臨床選擇手術方式提供依據.方法 對我院71例行手術治療的鼻腔鼻竇內翻性乳頭狀瘤患者的療效進行迴顧性分析,其中42例行鼻內鏡手術,29例行鼻側切開手術.觀察兩種術式的術後複髮率、術中齣血量、併髮癥情況.結果 鼻內鏡手術組術中齣血量、術後併髮癥及腫瘤複髮率均顯著少于鼻側切開手術組(P＜0.05).結論 鼻內窺鏡下手術治療鼻腔鼻竇內翻性乳頭狀瘤具有術後複髮率低、術中齣血量少、併髮癥少、無麵部疤痕、腫瘤切除徹底等優點,值得臨床推廣.
목적 분석비내경수술、비측절개수술치료비강비두내번성유두상류적림상료효,위림상선택수술방식제공의거.방법 대아원71례행수술치료적비강비두내번성유두상류환자적료효진행회고성분석,기중42례행비내경수술,29례행비측절개수술.관찰량충술식적술후복발솔、술중출혈량、병발증정황.결과 비내경수술조술중출혈량、술후병발증급종류복발솔균현저소우비측절개수술조(P＜0.05).결론 비내규경하수술치료비강비두내번성유두상류구유술후복발솔저、술중출혈량소、병발증소、무면부파흔、종류절제철저등우점,치득림상추엄.
Objective To provide support for clinical selection of surgical procedures by analyzing the efficacy of nasal endoscopic surgery and nasal lateral incision in the treatment of inverted papilloma in nasal cavity and paranasal sinuses.Methods The efficacy of surgical treatment was retrospectively analyzed in 71 patients with inverted papilloma in nasal cavity and paranasal sinuses.42 received endoscopic nasal surgery and 29 underwent nasal lateral incision.Postoperative recurrence rate,intraoperative blood loss,and complications were compared.Results Volume of intraoperative bleeding was smaller and rates of postoperative complications and recurrence were significantly lower in the group of nasal endoscopic surgery than the group of nasal lateral incision (P＜0.05).Conclusions Nasal endoscopic surgery for inverted papilloma in nasal cavity and paranasal sinus has a lower recurrence rate,less blood loss,fewer complications,no formation of facial scars,and complete removal of the tumor.It is worth popularizing clinically.
