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[背景]探讨鼻内镜在鼻腔鼻窦内翻性乳头状瘤手术治疗中的应用价值.[病例报告]回顾性分析2008年3月—2012年11月间因鼻腔鼻窦内翻性乳头状瘤治疗住院并行鼻内镜或联合柯-陆式入路治疗的患者36例,术后7~9d出院,进行1~4年回访,观察恢复及有无复发情况.结果见,4例(Ⅱ期2例、Ⅲ期2例)复发,其余均取得满意疗效.[讨论]鼻内镜手术是Ⅰ,Ⅱ期鼻腔鼻窦内翻性乳头状瘤的首选手术方法,Ⅲ,Ⅳ期根据病变情况选择鼻内镜手术或联合传统手术方式进行手术;长时间随访对及早发现肿瘤复发并进行手术治疗是有必要的.
[Background] To investigate the value of endoscopic sinus surgery in the treatment of nasal inverted papilloma. [Case Report] Retrospective analysis of March 2008 - November 2012 due to nasal sinus inverted papilloma treatment Thirty-six patients in hospital were treated with endoscopic or coke-land approach, and were discharged from 7 to 9 days after operation, and were followed up for 1 to 4 years to observe the recovery and recurrence. Cases, stage Ⅲ 2 cases) recurrence, the rest have achieved satisfactory results. [Discussion] Endoscopic sinus surgery is Ⅰ, Ⅱ nasal sinus inverted papilloma the preferred surgical method, Ⅲ, Ⅳ according to the lesion selected intranasal Microsurgery or surgery combined with conventional surgery; long-term follow-up of early detection of tumor recurrence and surgical treatment is necessary.