Kosoković F, Danić D
Universitäts-Hals-Nasen-Ohrenklinik Zagreb.
Laryngol Rhinol Otol (Stuttg). 1987 Sep;66(9):494-7.
There is no definite attitude towards etiology of angiofibroma. In diagnostics, besides the classic epypharyngoscopy, X-rays and CAT, an endoscopical epypharyngoscopy which gives insight into the diameter of the tumour base, also proved to be useful. Embolisation of art, maxillaris on the tumour's side would also be necessary in order to diminish bleeding upon the surgical manipulation. Surgery proved to be the only effective therapy in the treatment of angiofibroma. The surgical approach to the tumour depends on its localisation and on its being a primary tumour or a recurrence. A radical removal of the tumour with the least possible mutilation of the patient should be accomplished by the surgery. From 1962 to 1984, 28 cases of angiofibroma were treated at the Dept. of Otorhynolaryngology. All the patient were from 10 to 52 years old. The tumour was distributed by stages as it follows: T1 = 7; T2 = 6; T3 = 14; T4 = 1. There were 13 recurrences.
对于血管纤维瘤的病因尚无明确的定论。在诊断方面,除了传统的间接喉镜检查、X射线和计算机断层扫描(CAT)外,能观察到肿瘤基底直径的内镜下间接喉镜检查也被证明是有用的。为了减少手术操作时的出血,还需要对肿瘤侧的上颌动脉进行栓塞。手术被证明是治疗血管纤维瘤唯一有效的疗法。对肿瘤的手术入路取决于其位置以及它是原发性肿瘤还是复发性肿瘤。手术应尽可能在对患者损伤最小的情况下彻底切除肿瘤。1962年至1984年,耳鼻咽喉科共治疗了28例血管纤维瘤患者。所有患者年龄在10至52岁之间。肿瘤分期分布如下:T1 = 7例;T2 = 6例;T3 = 14例;T4 = 1例。有13例复发。