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目的 :探讨鼻内窥镜外科技术在治疗鼻腔及鼻窦良性肿瘤中的应用。方法 :鼻内窥镜下行鼻腔外侧壁大部或选择性部分切除、窦壁病变黏膜刮除术 ,并配合YAG激光切除术。结果 :35例患者中 3年内仅 4例不同程度地复发 ,成功率 88%。鼻内窥镜下鼻腔及鼻窦内翻性乳头状瘤切除术可替代诸如鼻侧切开术等遗留面部疤痕或造成巨大创伤的术式。结论 :正确选择手术适应证 ,利用鼻内窥镜多视角、高清晰度等优点 ,术中可较准确地判断肿瘤原发部位及范围 ,手术创伤小 ,激光技术的应用对降低手术难度 ,防止肿瘤复发有重要意义。
Objective: To explore the application of nasal endoscopic surgery in the treatment of benign tumors of nasal cavity and nasal cavity. Methods: Nasal endoscopic descending nasal most lateral wall or partial resection, sinus wall lesions mucosal curettage, and with YAG laser resection. Results: Only 35 of the 4 patients relapsed to varying degrees within 3 years, with a success rate of 88%. Nasal endoscopic nasal and sinus inverted papilloma resection can replace such as nasal incision or other left over facial scars or cause great trauma surgery. Conclusion: The correct choice of surgical indications, the use of nasal endoscopy multi-angle, high-resolution, etc., can be more accurately determine the location and extent of the tumor during surgery, surgical trauma is small, the application of laser technology to reduce the difficulty of surgery to prevent Tumor recurrence is of great significance.