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目的:探讨鼻内镜下彻底切除鼻内翻性乳头状瘤的手术方法及应用价值。方法:回顾分析2002-03-2009-03期间经鼻内镜手术治疗的18例鼻内翻性乳头状瘤患者临床资料,其中鼻内镜下鼻内翻性乳头状瘤切除术14例,鼻内镜联合Caldwell-Luc术式4例。结果:术后平均随访2.6年,无1例出现手术并发症。随访过程中有3例复发,其中Ⅱ级1例,Ⅲ级2例,术后复发率为16.7%,经再次手术后未见复发。结论:鼻内镜手术治疗鼻内翻性乳头状瘤是一种安全、有效的方法,对肿瘤广泛涉及上颌窦的Ⅲ级病变,联合Caldwell-Luc术式疗效好。
Objective: To investigate the surgical method and application value of complete resection of nasal inverted papilloma under endoscopy. Methods: The clinical data of 18 patients with nasal inverted papilloma treated by endoscopic sinus surgery during 2002-03-2009-03 were retrospectively analyzed. Among them, 14 cases underwent nasal endoscopic papilloma resection, Endoscopic combined Caldwell-Luc surgery in 4 cases. Results: After an average of 2.6 years follow-up, none of the patients had surgical complications. During the follow-up, there were 3 cases of recurrence, including 1 case of grade Ⅱ and 2 cases of grade Ⅲ. The recurrence rate was 16.7%. No recurrence was found after reoperation. Conclusion: Endoscopic sinus surgery for the treatment of nasal inverted papilloma is a safe and effective method for the tumor involving the maxillary sinus class Ⅲ lesions, combined with Caldwell-Luc surgery is effective.