鼻内镜下带吸引高频电刀切除鼻咽血管纤维瘤的治疗效果

摘要： 目的 探讨鼻内镜下带吸引高频电刀切除鼻咽血管纤维瘤的手术方法和治疗效果。方法 回顾性分析2009年1月-2015年12月10例鼻咽血管纤维瘤的临床资料，全部患者均在鼻内镜下行带吸引高频电刀切除术，观察术中平均出血量、术后恢复时间、有无残留和复发。结果 全部病例的肿瘤均一次性切除，平均出血量465 ml，无术后并发症，无残留，随访6～18个月无复发。结论 尽管术前未行血管栓塞术，但在术中控制性低血压基础上，鼻内镜下带吸引高频电刀切除AndrewsⅡ期及以下（肿瘤局限鼻腔、鼻咽部及侵犯鼻窦）的鼻咽血管纤维瘤是可行的。
Abstract: Objective To study the technique and clinical effect of endoscopic surgery using high frequency electrotome with suction device for nasopharyngeal angiofibroma. Methods In this study, we retrospective analyzed the clinical data of 10 patients treated between January 2009 and December 2015. All these patients were treated by endoscopic surgery using high frequency electrotome with suction device. The average blood loss during surgery, tumor residual, recurrent tumor and duration of recovery were evaluated. Results The tumor was completely removed in all 10 patients. The average blood loss was 465 ml, there was no postoperative complication, all patients had no residual tumor, and there was no recurrent tumor over a follow-up of 6~18 months. Conclusion Though it was not preoperative transcatheter arterial embolization, the endoscopic surgery using high frequency electrotome with suction device can be used to treated nasopharyngeal angiofibroma which either limited to nasopharyngeal cavities and paranasal sinus with intraoperative blood pressure control.