%0 English Abstract
%T [Coblation-assisted endoscopic excision of juvenile nasopharyngeal angiofibroma and outcomes].
%A Chen F
%A Liu W
%A Chen J
%A Chen C
%A Guo Y
%A Shi J
%J Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
%V 38
%N 6
%D 2024 Jun
%M 38858116
暂无%R 10.13201/j.issn.2096-7993.2024.06.010
%X 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 transnasal endoscopic approach alone, or combined with transoral approach or Caldwell-Luc approach was performed. Results: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 standardized surgical procedures using endoscopy and coblation technology.<BR>目的：总结AndrewⅠ～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，AndrewⅠ～Ⅲ期的鼻咽纤维血管瘤基本可达到快速、安全、完整切除。.