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目的:探讨鼻咽纤维血管瘤的手术方法。方法:22例鼻咽纤维血管瘤患者均行手术治疗,其中经腭径路12例,经鼻腔径路5例(鼻侧切开2例,梨状孔径路2例,经前鼻孔径路1例),经口腔口咽径路2例,硬腭唇龈径路2例,鼻硬腭径路1例。结果:术中出血量最多1600ml,最少400ml。1例复发,其余21例随访1～2年无复发。结论:做好术前准备、选择适当的手术径路及采取颈外动脉结扎或数字减影血管栓塞术对防止复发、减少术中出血和完整切除肿瘤最为关键。
Objective: To explore the surgical method of nasopharyngeal fibrosioma. Methods: Twenty-two patients with nasopharyngeal fibroadenoma underwent surgical treatment. Among them, 12 were treated by palatal pathology, 5 were treated by nasal approach (nasal dissection in 2 cases, piriform approach in 2 cases and anterior nasal approach in 1 case) Oral oropharyngeal approach in 2 cases, 2 cases of hard palate gingival approach, nasal path of paw pathology in 1 case. Results: Intraoperative bleeding up to 1600ml, at least 400ml. 1 patient relapsed, the remaining 21 patients were followed up for 1 to 2 years without recurrence. Conclusion: Preoperative preparation, choice of appropriate surgical approach and the use of ligation of the external carotid artery or digital subtraction angiography embolization is the key to prevent recurrence, reduce intraoperative bleeding and complete resection of the tumor.