鼻内镜下鼻内翻性乳头状瘤切除治疗的疗效评估

摘要

Objective:To evaluate the efficacy of the resection of nasal inverted papilloma (NIP) under endoscope.Methods: A total of 100 patients with NIP from April 2008 to December 2013 in our hospital were randomly divided into endoscopic surgery group (endoscopic group) and conventional surgery group (conventional group), each with 50 cases. All patients were followed up for 2 years, whose recurrence, complications and satisfaction were observed. Results: The patients were followed up for 2 years, and the recurrence rate between the two groups was not statistically significant (x2=0.96,P>0.05). The traditional group had a higher incidence of complications than the endoscopic group, and the difference was statistically significant (x2=4.16,P<0.05). Endoscopic patients’ satisfaction was higher, and the difference was statistically significant (x2=5.02,P<0.05).Conclusion: The resection of (NIP) under endoscope can reduce the incidence of complication, improve patient satisfaction, and will not increase the recurrence rate, which is an effective means of treatment to the NIP.%目的：评估鼻内镜下鼻内翻性乳头状瘤(NIP)切除治疗的疗效。方法：选择100例耳鼻喉科接受手术治疗，并诊断为鼻内翻性乳头状瘤的患者，依据手术方式的不同将其分为鼻内镜手术组(内镜组)和传统手术组(传统组)，每组50例，分别进行鼻内镜手术和传统手术治疗，并对患者进行2年随访，比较两组患者复发、并发症及满意度情况。结果：术后随访2年，两组复发率比较无差异(x2=0.96，P＞0.05)；传统组并发症发生率高于内镜组，两组比较有差异(x2=4.16，P＜0.05)；内镜组患者手术满意度高于传统组，两组比较有差异(x2=5.02，P＜0.05)。结论：鼻内镜下鼻内翻性乳头状瘤切除比传统开放手术可减少并发症，提高患者满意度，并且不会增加复发率，是治疗NIP的有效手段。