经鼻内镜低温等离子辅助下鼻咽纤维血管瘤切除术及疗效分析
Coblation-assisted endoscopic excision of juvenile nasopharyngeal angiofibroma and outcomes
陈枫虹 1刘文冬 2陈靖媛 3陈楚欣 4郭圆媛 2史剑波2
作者信息
- 1. 广州医科大学附属第二医院耳鼻咽喉科 广东省过敏反应与免疫重点实验室(广州,510260)
- 2. 中山大学附属第一医院耳鼻咽喉科医院 中山大学耳鼻咽喉科学研究所
- 3. 中山大学附属第三医院耳鼻咽喉头颈外科
- 4. 中山大学附属第七医院耳鼻咽喉头颈外科
- 折叠
摘要
目的:总结Andrew Ⅰ～Ⅲ期鼻咽纤维血管瘤的手术方法和疗效.方法:收集2016年1月-2021年12月手术的鼻咽纤维血管瘤患者12例,Ⅰ期1例,Ⅱ期3例,Ⅲ期8例.采用单独经鼻内镜,或联合经口或柯陆氏入路鼻咽纤维血管瘤切除术.结果:手术未出现严重并发症.术中中位数出血量为200 mL,1例输血.中位数手术时间为110 min.中位数随访时间3年.11例完整切除,术后无复发,1例残留,行二次手术,未再复发残留.结论:通过建立标准化的手术步骤,借助内镜和低温等离子技术,Andrew Ⅰ～Ⅲ期的鼻咽纤维血管瘤基本可达到快速、安全、完整切除.
Abstract
Objective:To summarize the procedures and efficacy of surgical treatment for Andrew stage Ⅰ-Ⅲ juvenile nasopharyngeal angiofibroma(JNA).Methods:A total of 12 patients with JNA who underwent surgery from 2016 to 2021 were enrolled,including 1 case in stage Ⅰ,3 cases in stage Ⅱ,and 8 cases in stage Ⅲ.JNA was resected by tran-snasal endoscopic approach alone,or combined with transoral approach or Caldwell-Luc approach was performed.Re-sults:Eleven cases underwent complete resection without recurrence and 1 case had residual tumor.There were no serious complications.The median intraoperative blood loss was 200 mL,and 1 patient received blood transfusion.The median operative time was 110 minutes.Conclusion:JNA in Andrew stage Ⅰ-Ⅲ can be quickly and completely resected by stand-ardized surgical procedures using endoscopy and coblation technology.
关键词
鼻咽纤维血管瘤/鼻内镜/手术/低温等离子/疗效Key words
juvenile nasopharyngeal angiofibroma/nasal endoscope/surgery/coblation/outcome引用本文复制引用
基金项目
国家自然科学基金面上项目(82271135)
出版年
2024
NETL
NSTL
万方数据