CAJ | 학술논문

目的：探究鼻腔鼻窦内翻性乳头状瘤治疗中应用鼻内窥镜联合鼻腔解剖手术效果。方法随机选该校附属医院2013年6月—2014年6月接受乳鼻腔鼻窦内翻性乳头状瘤治疗的70例患者进行探究,据治疗手段随机均分至A、B组,分别采用单一的鼻内窥镜手术、鼻内窥镜联合鼻腔解剖手术治疗,对比分析术式优劣。结果B组复发率仅为5.71%,A组复发率达20%；A组术后并发症发生率为25.71%,远高于B组8.57%,差异有统计学意义(P<0.05)。结论在II、III级鼻腔鼻窦内翻性乳头状瘤治疗上,鼻内窥镜联合鼻腔解剖术治疗手段效果显著,复发率低,但不适于I级鼻腔鼻窦内翻性乳头状瘤的治疗。临床上应据患者鼻腔鼻窦内翻性乳头状瘤的不同病情择优使用。
목적：탐구비강비두내번성유두상류치료중응용비내규경연합비강해부수술효과。방법수궤선해교부속의원2013년6월—2014년6월접수유비강비두내번성유두상류치료적70례환자진행탐구,거치료수단수궤균분지A、B조,분별채용단일적비내규경수술、비내규경연합비강해부수술치료,대비분석술식우렬。결과B조복발솔부위5.71%,A조복발솔체20%；A조술후병발증발생솔위25.71%,원고우B조8.57%,차이유통계학의의(P<0.05)。결론재II、III급비강비두내번성유두상류치료상,비내규경연합비강해부술치료수단효과현저,복발솔저,단불괄우I급비강비두내번성유두상류적치료。림상상응거환자비강비두내번성유두상류적불동병정택우사용。
Objective To evaluate the efficacy of nasal endoscope combined with nasal anatomy surgery in the treatment of sinonasal nasal inverted papilloma. Methods 70 cases with sinonasal nasal inverted papilloma treated in Affiliated Hospital of Shangqiu Medical College from June 2013 to June 2014 were selected for the study. The patients were randomly divided into two groups, group A and group B in accordance with the treatment regimen, treated by the nasal endoscope surgery, nasal endoscope combined with nasal anatomy surgery, respectively. And the surgical effect was compared between the two groups. Results The re-currence rate was 5.71%in group B, and 20%in group A; the incidence of postoperative complications was much higher in group A than that in group B (25.71%vs 8.57%), The differeice was statistically significant P<0.05. Conclusion Nasal endoscope com-bined with nasal anatomy surgery has good effect on grade II, III sinonasal nasal inverted papilloma with low recurrence rate, but it is not suitable for the treatment of grade I sinonasal nasal inverted papilloma, so the surgical mode should be selected in accor-dance with the conditions of the patients with sinonasal nasal inverted papilloma clinically.