[1]闫素英 李希平 房居高 魏永祥*.3种鼻内镜手术治疗上颌窦内翻性乳头状瘤的疗效比较[J].中国微创外科杂志,2014,14(6):539-541.
　Yan Suying,Li Xiping,Fang Jugao,et al.A Comparison of Three Nasoendoscopic Operations for Inverted Papilloma in the Maxillary Sinus[J].Chinese Journal of Minimally Invasive Surgery,2014,14(6):539-541.
点击复制

3种鼻内镜手术治疗上颌窦内翻性乳头状瘤的疗效比较()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年6期
页码:
539-541
栏目:
出版日期:
2014-06-20

文章信息/Info

Title:
A Comparison of Three Nasoendoscopic Operations for Inverted Papilloma in the Maxillary Sinus
作者:
闫素英 李希平 房居高 魏永祥*
首都医科大学附属北京安贞医院耳鼻咽喉头颈外科，北京100029
Author(s):
Yan Suying;  Li Xiping;  Fang Jugao;  et al.Corresponding author:Wei Yongxiang; Email：weiyongxiang@vip.sina.com
Department of Otolaryngology, Head and Neck Surgery, Beijing Anzhen Hospital of Capital Medical University, Beijing 100029, China
关键词:
鼻内镜; 内翻乳头状瘤; 上颌窦
Keywords:
Nasoendoscope; Sinonasal inverted papilloma; Maxillary sinus
分类号:
R739.62
文献标志码:
A
摘要:
目的探讨鼻内镜下上颌窦内翻性乳头状瘤手术方式的选择和疗效。方法2008年8月~2012年6月对88例累及上颌窦的内翻性乳头状瘤分别采取鼻内镜中鼻道入路切除肿瘤（A组，n=34）、鼻内镜下中鼻道联合尖牙窝入路切除肿瘤（B组，n=28）、鼻内镜下鼻腔外侧壁切除（C组，n=26）。结果随访18~64个月，3组患者复发率分别为35.3%（12/34）、7.1%（2/28）、3.8%（1/26），有显著性差异（χ2=13.003，P=0.002）,其中C组显著低于A组(Z=-2.906，P=0004)，B组显著低于A组(Z=-2.617，P=0.009)，B、C组无显著差异 (Z=-0.524，P=0.601)。结论鼻内镜下鼻腔外侧壁切除术治疗上颌窦内翻性乳头状瘤可以减少手术盲区，切除肿瘤较为彻底，较中鼻道入路有较低的复发率。
Abstract:
ObjectiveTo study curative effects of nasoendoscopic operations for inverted papilloma in the maxillary sinus.MethodsA retrospective analysis of 88 cases of inverted papilloma in the maxillary sinus treated under nasoendoscope from August 2008 to June 2012 was carried out. Of these cases, papilloma was resected by way of middle meatus antrostomy in 34 cases (Group A), by way of middle meatus antrostomy combined with fossa canina approach in 28 cases (Group B), and of medial wall of maxillary sinus in 26 cases (Group C).ResultsAfter 18-64 months of followup, recurrence rates of the three groups were 35.3% (12/34), 7.1% (2/28), and 3.8% (1/26), respectively. There was a significant difference in recurrence rate among the three groups (χ2=13.003, P=0.002). Moreover, the recurrence rate was significantly lower in the Group C than that in the Group A (Z=-2.906, P=0.004), and significantly lower in the Group B than that in the Group A (Z=-2.617, P=0.009). No significant difference was found between the Group B and C (Z=-0.524, P=0.601).ConclusionAccording to location and extension of inverted papilloma in the maxillary sinus, appropriate adoption of operative approach can reduce the blind area, making radical resection possible and reducing the recurrence rate.

参考文献/References:

[1]黄选兆，汪吉宝，主编．实用耳鼻咽喉头颈外科学．第2版.北京：人民卫生出版社,2008.196-197．
[2]Han JK，Smith TL，Loehrl T，et al．An evolution in the management of sinonasal inverting papilloma．Laryngoscope,2001,111(8):1395-1400．
[3]郭亿超 ，王琪.鼻腔鼻窦内翻性乳头状瘤研究进展.中国耳鼻咽喉头颈外科,2012,19(5): 242-245.
[4]姜晓丹，董震，李光宇，等. 内镜下治疗鼻内翻性乳头状瘤89例临床分析. 中华耳鼻咽喉头颈外科杂志,2010,45 (3): 186-189.
[5]刘鹏, 李士新, 孙德义,等.鼻内镜下鼻腔外侧壁切开治疗复发性广泛性上颌窦良性病变.临床耳鼻咽喉头颈外科杂志，2010,24(20):944-946.
[6]丁元吉,王红,张利.鼻内镜手术治疗鼻腔鼻窦内翻性乳头状瘤.中国微创外科杂志,2014,14(3):249-255.
[7]叶菁 , 周文胜，江红群,等.CT中骨质变化对鼻腔鼻窦内翻性乳头状瘤的诊断价值.中华耳鼻咽喉头颈外科杂志,2009, 44(2):141-144.
[8]王建国，韩振强,王春华,等.鼻内镜下上颌窦(扩大)内壁切除术在鼻内翻性乳头状瘤手术中的应用.中国微创外科杂志,2008,8(8):733-734.
[9]Constantino Gde T, Abdo TT, Romano FR, et a1．The role of endoscopic surgery in the treatment of nasal inverted paplioma．Braz J Otorhinolaryngol,2007,73(1)：65-68．
[10]严福波，曾旭东, 何源萍, 等. 鼻内镜手术治疗鼻腔及鼻窦内翻性乳头状瘤的疗效观察.临床耳鼻咽喉头颈外科杂志, 2009, 23(11) :494-496.
[11]Krouse JH．Development of a staging system for inverted papilloma. Laryngoscope，2000，110(6)：965-968．
[12]孙伟元,赵娜,翟瑞华，等.鼻内翻性乳头状瘤恶变的内镜或内镜辅助下手术.中华耳鼻咽喉头颈外科杂志,2011,46(12):1036-1039.
[13]陈莹华，张红春,葛平江,等.鼻内镜下中鼻道联合下鼻道扩大泪前隐窝入路切除上颌窦良性病变.临床耳鼻咽喉头颈外科杂志,2012，26(23)：1070-1076.

备注/Memo

备注/Memo:
*通讯作者,Email：weiyongxiang@vip.sina.com
更新日期/Last Update: 2014-12-08