内镜手术在鼻腔内翻性乳头状瘤治疗中的作用。
The role of endoscopic surgery in the treatment of nasal inverted papilloma.
作者信息
Constantino Guilherme de Toledo Leme, Abdo Tatiana T, Romano Fabrízio R, Voegels Richard L, Butugan Ossamu
机构信息
HC/FMUSP, São Paulo, SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2007 Jan-Feb;73(1):65-8. doi: 10.1016/s1808-8694(15)31124-1.
UNLABELLED
The inverted papilloma is a benign neoplasm, prone to malignancy, and bearing a high rate of post-op recurrence. There is much debate in the literature concerning the issue that an endoscopic approach may offer a benefit over an external approach.
AIM
Demonstrate the efficacy of an endonasal endoscopic approach in the treatment of inverted papilloma.
STUDY DESIGN
Retrospective.
MATERIALS AND METHODS
Retrospective analysis of patients with inverted papilloma operated at the University Hospital--FMUSP from 1994 to 2004.
RESULTS
Twenty-eight patients records were studied. Nine patients (32.1%) had tumor recurrence, one being operated via the endoscopic method and eight by external approach.
DISCUSSION
Krouses staging system for inverted papillomas can facilitate both treatment planning and comparison of surgical outcomes. The use of the endoscopic approach resulted in fewer relapses than when the external one was used in cases with the same tumor staging.
CONCLUSION
The use of the endoscope in this type of surgical treatment is an important success factor in the treatment of inverted papilloma.
未标注
内翻性乳头状瘤是一种良性肿瘤，易于恶变，术后复发率高。关于内镜手术方法是否比外部手术方法更具优势这一问题，文献中有很多争论。
目的
证明鼻内镜手术方法治疗内翻性乳头状瘤的疗效。
研究设计
回顾性研究。
材料与方法
对1994年至2004年在圣保罗大学医院-FMUSP接受手术的内翻性乳头状瘤患者进行回顾性分析。
结果
研究了28例患者的记录。9例患者（32.1%）出现肿瘤复发，其中1例通过内镜手术治疗，8例通过外部手术治疗。
讨论
Krouses内翻性乳头状瘤分期系统有助于治疗规划和手术结果比较。在相同肿瘤分期的病例中，使用内镜手术方法比使用外部手术方法复发更少。
结论
在这类手术治疗中使用内镜是治疗内翻性乳头状瘤的一个重要成功因素。
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