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目的探讨经鼻内镜手术切除鼻腔鼻窦肿瘤可行性和手术效果。方法 22例鼻腔鼻窦肿瘤患者全部在鼻内镜下行手术切除,根据肿瘤的不同部位确定鼻内镜下手术切除范围,术后门诊内镜定期复查和随访,分析临床疗效,并与传统的21例鼻部手术患者进行比较。结果鼻内镜手术组并发症发生率0,低于传统鼻部手术组4.76%(P<0.05);鼻内镜手术组手术复发率4.55%,低于传统鼻部手术组23.81%,差异具有统计学意义(P<0.05)。结论经鼻内镜切除鼻腔鼻窦肿瘤视野清晰,面部无瘢痕、损伤小,具有较高的临床疗效,可明显改善患者的临床特征,术后复发率低,值得临床推广应用。
Objective To investigate the feasibility and effect of nasal endoscopic sinus surgery. Methods Twenty-two patients with nasal sinus cancer underwent surgical resection under endoscopic sinus surgery. The surgical resection scope was determined according to the different parts of the tumor. The endoscopic regular postoperative follow-up and follow-up were performed to analyze the clinical efficacy. The clinical efficacy was compared with the traditional 21 cases Nasal surgery patients were compared. Results The incidence of complications in endoscopic sinus surgery group was lower than that in conventional nasal surgery group (4.76%, P <0.05). The recurrence rate in endoscopic sinus surgery group was 4.55%, which was lower than that in conventional nasal surgery group (23.81% Statistical significance (P <0.05). Conclusion Nasal endoscopic sinus resection of nasopharyngeal clear vision, no facial scar, small injury, with high clinical efficacy, can significantly improve the clinical features of patients with postoperative recurrence rate is low, worthy of clinical application.