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目的:研究鼻内窥镜联合改良柯-陆手术,确定彻底治疗鼻腔鼻窦内翻性乳头状瘤的有效方法,为今后的临床治疗积累丰富的经验。方法:随机性抽取2007年6月-2010年6月在我院接受诊治的临床资料,对42例NIP病人经鼻内镜联合改良柯-陆手术治疗的资料回顾性分析。结果:所有患者均确定根基部后成功手术,为出现异常并发症状,手术后进行为期24-84个月的回访调查。复发5例,复发率12.0%,都属于筛窦复发。结论:鼻内镜联合改良柯-陆手术能准确定位鼻腔鼻窦内翻性乳头状瘤根基部,为医师的手术操作提供良好的视野,同时治疗不会引起并发症状,效果显著。
OBJECTIVE: To study the effective method of nasal endoscopy combined with modified Ke-Lu operation in the treatment of inverted papilloma of nasal cavity and sinus and to accumulate rich experience for future clinical treatment. Methods: Randomized clinical data of patients admitted to our hospital from June 2007 to June 2010 were retrospectively analyzed in 42 cases of NIP patients undergoing endoscopic sinus surgery combined with modified Ke - Lu surgery. Results: All the patients were confirmed successful operation at the base of the base. For the occurrence of abnormal complications, a follow-up survey of 24-84 months after surgery was conducted. Recurrence in 5 cases, the recurrence rate was 12.0%, all belong to ethmoid sinus recurrence. CONCLUSIONS: Endoscopic sinus surgery combined with modified Ke-Lu operation can accurately locate the base of inverted papilloma of nasal sinuses and provide a good field of vision for the surgeons. At the same time, the treatment does not cause complications and the effect is significant.