鼻咽纤维血管瘤依其病理上的良性结构和不发生转移的特点本属良性肿瘤,但却有强大的生长扩张能力、复发和出血的特点。兹将我院1975——1980年间收治的15例患者就其治疗方法作一介绍。临床资料 15例患者全为男性,年龄最大25岁,最小14岁,平均19岁。本组病例有3例复发,共作了18次手术,其中经腭途径作舌形切口12次,其余则取鼻侧切开及上颌骨部分切除径路。全组中1例术中用液氮冷冻瘤体及蒂部,2例作控制性低血压麻醉。15例均作气管切开经套管内麻醉。颅底X线摄片证实有骨质破坏者4例。失血量最多达3000毫升,最少为200毫升。腭部穿孔2例。 Nasopharyngeal angiofibroma is a benign tumor according to its pathological benign structure and its non-metastatic characteristics, but it has strong growth and expansion ability, recurrence, and hemorrhage. The 15 patients admitted to our hospital from 1975 to 1980 will be introduced to their treatment. Clinical data 15 patients were all male, the oldest 25 years old, the youngest 14 years old, an average of 19 years old. In this group of patients, there were 3 cases of recurrence. A total of 18 operations were performed. Among them, tongue-shaped incisions were performed 12 times through the fistula and the rest were taken with nasal incision and resection of the maxillary bone. One patient in the entire group had intraoperative frozen nitrogen tumors and pedicles, and 2 patients had controlled hypotension anesthesia. All the 15 patients underwent tracheotomy by cannulation. Skull base X-ray confirmed bone destruction in 4 cases. Blood loss up to 3000 ml, at least 200 ml. Perforation of ankle in 2 cases.