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本文报告17例鼻腔鼻窦内翻性乳头状瘤患者(NIP),男10例,女7例;平均年龄48.8岁。早期症状和体征无特异性,最常见的症状是鼻阻,占82.4%;其次是鼻部手术史,占64.7%。治疗首选手术,术前应进行CT检查以明确病变范围。本组17例NIP行鼻内肿物摘除2例,柯陆氏进路4例,软腭进路1例,鼻侧切开10例,复发者5例,复发率为29.4%;5例复发者再次手术,癌变者4例,癌变率23.5%,对癌变者术后应辅以放疗,术后长期随访,定期观察,对NIP患者十分有益。
This article reports 17 cases of nasal sinus inverted papilloma patients (NIP), 10 males and 7 females; mean age 48.8 years old. Early symptoms and signs of non-specific, the most common symptom is nose resistance, accounting for 82.4%; followed by the history of nasal surgery, accounting for 64.7%. The preferred treatment of surgery, preoperative CT examination should be done to clarify the extent of the lesion. The group of 17 cases of NIP intranasal tumor removal in 2 cases, Ke Lu’s approach in 4 cases, soft palate approach in 1 case, nasal lateral incision in 10 cases, 5 cases of recurrence, the recurrence rate was 29.4%; 5 cases Recurrent reoperation, cancer in 4 cases, 23.5% of canceration rate, cancer patients should be supplemented with radiotherapy postoperative long-term follow-up, regular observation, is very useful for patients with NIP.