鼻内镜下联合低温等离子刀切除鼻腔鼻窦内翻性乳头状瘤37例

doi:10.6040/j.issn.1673-3770.1.2020.090

摘要/Abstract

摘要： 目的回顾性分析鼻腔鼻窦内翻性乳头状瘤的临床特点,探讨鼻内镜下联合低温等离子刀切除鼻腔鼻窦内翻性乳头状瘤的可行性。方法在鼻内镜下使用低温等离子刀切除37例鼻腔鼻窦内翻性乳头状瘤,根据Krouse分级标准:T1期8例,T2期18例,T3期11例。术后鼻内镜下随访4~10年。结果 37例均在鼻内镜下成功使用低温等离子刀切除肿瘤,3例术后复发,再次手术未复发。结论鼻内镜下联合低温等离子刀切除T1-T3期鼻腔鼻窦内翻性乳头状瘤安全、微创,术后复发率低。

关键词: 乳头状瘤,内翻, 鼻腔, 鼻窦, 低温等离子, 鼻内镜

Abstract: Objective To summarize the clinical characteristics of inverted papillomas in the nasal cavity and the nasal sinus in stage and evaluate the therapeutic feasibility of low-temperature plasma under nasal endoscopy. Methods Thirty-seven patients with inverted papillomas in the nasal cavity and the nasal sinus were treated with low-temperature plasma under nasal endoscopy. According to the staging system developed by Krouse, 8 cases were of the T1 stage, 18 cases were of the T2 stage, and 11 cases were of the T3 stage. Postoperative nasal endoscopy was performed for 4-10 years. Results The thirty-seven cases of inverted papilloma in the nasal cavity and nasal sinus were removed completely. Postoperative recurrence was observed in 3 patients, but no recurrence was observed after the second operation. Conclusion Nasal endoscopy combined with low-temperature plasma for the resection of T1-T3 inverted papillomas of the nasal cavity and sinuses is safe and minimally invasive, and it is associated with a low postoperative recurrence rate.

Key words: Papilloma, inverted, Nasal cavity, Nasal sinus, Low-temperature plasma, Nasal endoscope

中图分类号:

R739.62

王胜国,陈志太,周本忠,李龙巧,史先萍,吴飞凤,张泽生. 鼻内镜下联合低温等离子刀切除鼻腔鼻窦内翻性乳头状瘤37例[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 67-70.

WANG Shengguo, CHEN Zhitai, ZHOU Benzhong, LI Longqiao, SHI Xianping, WU Feifeng, ZHANG Zesheng. Thirty-seven cases of inverted papillomas in the nasal cavity and the nasal sinus treated by low-temperature plasma under nasal endoscope[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 67-70.

参考文献

[1] 王愿, 周涵, 刘晓静, 等. 鼻内翻性乳头状瘤的术式选择和疗效分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 79-83. doi:10.6040/j.issn.1673-3770.0.2017.441. WANG Yuan, ZHOU Han, LIU Xiaojing, et al. Surgical strategies for nasal inverted Papilloma and corresponding recurrence rates[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(2): 79-83. doi:10.6040/j.issn.1673-3770.0.2017.441.
[2] Hildenbrand T, Weber R, Mertens J, et al. Surgery of inverted Papilloma of the maxillary sinus via translacrimal approach—long-term outcome and literature review[J]. J Clin Med, 2019, 8(11): 1873. doi:10.3390/jcm8111873.
[3] Healy DY, Chhabra N, Metson R, et al. Surgical risk factors for recurrence of inverted Papilloma[J]. Laryngoscope, 2016, 126(4): 796-801. doi:10.1002/lary.25663.
[4] Tsuzuki K, Nishigami T, Takebayashi H, et al. Inverted Papilloma with osteogenesis in the anterior ethmoid and frontal sinuses[J]. J Laryngol Otol, 2010, 124(2): 230-233. doi:10.1017/s0022215109990557.
[5] 张梅华, 张念凯, 单长胜, 等. CT对鼻腔鼻窦内翻性乳头状瘤起源的探讨[J]. 山东大学耳鼻喉眼学报, 2016, 30(1): 43-46. doi:10.6040/j.issn.1673-3770.0.2015.390. ZHANG Meihua, ZHANG Niankai, SHAN Changsheng, et al. Diagnostic value of CT of origin of nasal inverted Papilloma[J]. J Otolaryngol Ophthalmol Shandong Univ, 2016, 30(1): 43-46. doi:10.6040/j.issn.1673-3770.0.2015.390.
[6] Eid M, Eissa L. Imaging of Sino-nasal inverted papilloma: How can we emphasize the usefulness of the “striated pattern” sign?[J]. Egypt J Radiol Nucl Med, 2020, 51(1): 1-16. doi:10.1186/s43055-020-0134-4.
[7] Makihara S, Kariya S, Naito T, et al. Attachment-oriented endoscopic surgical management for inverted papillomas in the nasal cavity and paranasal sinuses[J]. Auris Nasus Larynx, 2019, 46(5): 748-753. doi:10.1016/j.anl.2019.02.007.
[8] Coutinho G, Marques J, Leal M, et al. Surgical outcomes of sinonasal inverted papilloma: a 17 year review[J]. Braz J Otorhinolaryngol, 2020, 86(3): 315-320. doi:10.1016/j.bjorl.2018.12.011.
[9] 崔潇, 阎艾慧. 鼻内镜下泪前隐窝入路治疗上颌窦内翻性乳头状瘤的疗效分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 49-52. doi:10.6040/j.issn.1673-3770.0.2017.309. CUI Xiao, YAN Aihui. Endoscopic anterior prelacrimal recess surgery for treatment of inverted papillomas[J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 49-52. doi:10.6040/j.issn.1673-3770.0.2017.309.
[10] Lee JJ, Ahmad Z AM, Kim D, et al. Comparison between endoscopic prelacrimal medial maxillectomy and Caldwell-luc approach for benign maxillary sinus tumors[J]. Clin Exp Otorhinolaryngol, 2019, 12(3): 287-293. doi:10.21053/ceo.2018.01165.
[11] Yu QQ, Guan G, Zhang NK, et al. Intranasal endoscopic prelacrimal recess approach for maxillary sinus inverted Papilloma[J]. Eur Arch Otorhinolaryngol, 2018, 275(9): 2297-2302. doi:10.1007/s00405-018-5078-1.
[12] Ohki M, Kikuchi S. Sinonasal inverted papilloma: efficacy of demucosation to reduce recurrence after surgical managements[J]. Indian J Otolaryngol Head Neck Surg, 2019, 71(Suppl 3): 2186-2193. doi:10.1007/s12070-019-01625-x.
[13] 张庆丰. 耳鼻咽喉等离子手术学[M]. 北京: 人民卫生出版社, 2014: 14-15,40-51.
[14] 李化静, 戴皓, 任婉丽, 等. 鼻内镜联合低温等离子刀手术治疗鼻内翻性乳头状瘤的疗效观察[J]. 现代肿瘤医学, 2018, 26(24): 3943-3946. doi:10.3969/j.issn.1672-4992.2018.24.013. LI Huajing, DAI Hao, REN Wanli, et al. Observation of the curative effect of the nasal inverted Papilloma treated by nasal endoscopic and low-temperature plasma[J]. J Mod Oncol, 2018, 26(24): 3943-3946. doi:10.3969/j.issn.1672-4992.2018.24.013.

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