在手术切除鼻逆转乳头瘤后复发的危险因素
Eugénie Delaine1, François Gorostidi2, Pierre Guilcher2
1Department of Ear, Nose, and Throat, Hopital du Valais, Sion, Switzerland.
International archives of otorhinolaryngology
|October 28, 2024
概括
手术后鼻逆转乳头瘤 (SNIP) 的复发是显著的,特别是在以前经过手术的病例中. 诸如额头鼻位置和较高瘤阶段等因素增加了复发风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 在瘤学瘤学.
背景情况:
- 鼻腔逆转乳头瘤 (SNIP) 是鼻腔和鼻的罕见良性瘤.
- 在该地区,SNIP只占该地区所有瘤的一小部分.
研究的目的:
- 分析SNIP的外科切除结果.
- 为了确定与SNIP复发相关的风险因素.
主要方法:
- 在2005年至2018年间在瑞士高等医疗中心治疗的57个SNIP病例的回顾性审查.
- 分析患者和瘤数据,包括复发率和风险因素.
- 手术治疗主要采用内镜方法.
主要成果:
- 手术后的整体复发率为17.5%.
- 与初级病例 (10.9%) 相比,在有复发史的患者中,复发的频率明显高 (45.5%).
- 大鼻是最常见的瘤位置;T3瘤 (Krouse分类) 是常见的.
结论:
- 难以进行手术,较高的瘤阶段和先前的手术都与不完全切除和复发的风险增加有关.
- 额头鼻位置和联合手术方法也可能增加复发风险,尽管在本研究中没有统计学意义.
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