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鼻及鼻窦的内翻性乳头状瘤易癌变,术后复发率高,目前常行鼻侧壁切除或上颌骨次全切除术,以便获得较广泛的安全缘,减少术后复发的机会,但对保守性手术的作用目前仍存在着分歧。本文作者回顾了1978～1987年期间对46例鼻及鼻窦内翻性乳头状瘤的各种治疗结果,除其中12例已转变成鳞癌或原位癌外,另外的34例分别采用:①鼻侧壁切除术,又称之为根治性手术;②上颌窦根治加鼻内肿物切除;③单纯鼻内肿物切除或鼻内筛窦根治术。
The inverted papilloma of the nose and paranasal sinus tends to be cancerous and has a high postoperative recurrence rate. At present, nasal wall resection or subtotal maxillary resection is often performed to obtain a wider margin of safety and reduce the chance of postoperative recurrence. The role of conservative surgery is still divided. The authors reviewed the results of various treatments for 46 cases of inverted papilloma of the nose and sinuses from 1978 to 1987, except that 12 of them had been transformed into squamous or carcinoma in situ. The other 34 cases were: 1 Nasal wall resection, also known as radical surgery; 2 maxillary sinus cure plus intranasal tumor resection; 3 simple intranasal tumor resection or intranasal ethmoid sinus radical surgery.