[鼻咽血管纤维瘤的诊断与治疗]
[The diagnosis and treatment of nasopharyngeal angiofibroma].
作者信息
Hong Yuming, Liang Zhenyuan, Lin Poshui
机构信息
Department of Otolaryngology, Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2004 Jan;18(1):33-4.
OBJECTIVE
To study the diagnosis and treatment of nasopharyngeal angiofibroma.
METHOD
Forty-one cases with nasopharyngeal angiofibroma accepted different kinds of surgical excision: 31 cases via palatal approach, 7 cases via mido-facial revelational approach, 3 cases via enlarged pergomaxillary fissure approach.
RESULT
The average of blood loss was 1,450 ml in operation but it became 500-800 ml when had a selective preoperative angiography embolization. After 0.5 to 2 years of operation, five cases recurred one time, three cases recurred two times, one case recurred four times.
CONCLUSION
CT examination is necessary in evaluation of the tumor's size, shape, duration, staging and invasive extent. It is important in designing the operative approach. The preoperative embolization can reduce the amount of bleeding during operation.
目的
探讨鼻咽血管纤维瘤的诊断与治疗方法。
方法
41例鼻咽血管纤维瘤患者接受了不同的手术切除方式：经腭入路31例，面中揭翻入路7例，扩大上颌窦裂入路3例。
结果
术中平均出血量为1450ml，术前选择性血管造影栓塞后出血量降至500 - 800ml。术后0.5至2年，5例复发1次，3例复发2次，1例复发4次。
结论
CT检查对于评估肿瘤大小、形态、病程、分期及侵犯范围很有必要，对设计手术入路至关重要。术前栓塞可减少术中出血量。
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