鼻内镜下溯源法切除鼻内翻性乳头状瘤的临床分析

Attachment-oriented endoscopic surgical strategy for nasal inverted papilloma

摘要:

目的 探讨鼻内镜下溯源法切除鼻内翻性乳头状瘤（NIP）的临床疗效与经验总结。方法 回顾性分析2013年1月—2017年6月南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科收治的71例采用鼻内镜下溯源法切除NIP患者的临床资料，统计患者精确定位起源部位与不能精确定位起源部位的复发情况。结果 71例患者术后均无严重并发症，随访1年内4例患者复发，复发率为5.6%，其中术中能精确定位唯一起源部的NIP患者1年复发率为3.0%（2/67），而不能精确定位者复发率为50.0%（2/4）。结论 鼻内镜下溯源法切除NIP对控制肿瘤复发具有优势。彻底切除肿瘤及术后定期随访是治疗成功的关键。

Abstract:

Objective To investigate the therapeutic effect of and summarize our experience on attachment-oriented endoscopic surgical strategy for nasal inverted papilloma (NIP). Methods Clinical data of 71 NIP patients treated with attachment-oriented endoscopic surgical strategy were analyzed retrospectively. The recurrence of NIP with or without accurate positioning of the unique origin site was counted. Results All the patients exhibited no severe complications. Recurrence occurred in 4 cases within one year after operation with an overall recurrence rate of 5.6% (4/71), while the recurrence rates NIP with or without accurate positioning of the origin site were 3.0% (2/67) and 50.0% (2/4) respectively. Conclusions Attachment-oriented endoscopic surgical strategy for NIP has an advantage for recurrence control. Radical resection of tumor and regular postoperative follow-up are the key points of success.