摘要
目的 探究微波在鼻内镜手术治疗鼻腔鼻窦内翻性乳头状瘤中的应用效果。方法 对照组予以单纯鼻内镜手术治疗, 观察组在此基础上予以微波治疗,术后观察对比两组复发率及肿瘤恶变率。结果 观察组术后复发率为7.3%,明显 低于对照组的36.5%,P<0.05;观察组未发生肿瘤恶变,对照组肿瘤恶变率为5.8%,组间比较有统计学意义,P <0.05。结论 鼻内镜联合微波治疗鼻腔鼻窦内翻性乳头状瘤的临床疗效确切,有助于降低术后复发率和恶变率。
Objective To explore the microwave in endoscopic sinus surgery for inverted papilloma of the effect of nasal application. Methods The control group was treated with endoscopic surgery alone, the observation group to be microwave treatment on this basis, comparing the two groups were observed recurrence rate and the rate of malignant tumors. Results The recurrence rate was 7.3%, significantly lower than the 36.5% in the control group, P<0.05. observation group did not occur malignant tumor, malignant tumor in the control group was 5.8%, was statistically significant between the two groups, P<0.05. Conclusion Nasal endoscopy and clinical efficacy of microwave treatment of nasal inverted papilloma exact, help to reduce the recurrence rate and the rate of malignant transformation.
【关键词】微波;鼻内镜手术;鼻腔鼻窦内翻性乳头状瘤
【中图分类号】R765.4;R765.9
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.06.005
前言
鼻腔-鼻窦内翻性乳头状瘤是耳鼻喉科常见良性 肿瘤之一,鼻内镜手术是其主要治疗方法,但术后常 易复发,且该肿瘤具有易侵袭、恶变的特点,因此在 手术时需彻底切除,以抑制肿瘤细胞生长,降低术后 复发率,改善临床预后。有研究报道[1],在肿瘤切除 后,采用微波灼烧热凝固,有助于减少鼻腔-鼻窦内 翻性乳头状瘤术后再次复发。为此,本研究将对近年 我院收治的107例鼻腔-鼻窦内翻性乳头状瘤患者,经 随机数字表法分组后,分别予以单纯鼻内镜手术治疗 和鼻内镜联合微波热凝治疗,以评估微波在该术中的 应用价值,现报道如下。
罕少疾病杂志
第23卷, 第 2 期
2019年11月
相关文章