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鼻咽纤维血管瘤是一种好发于16~25岁青年男性,含有丰富血管的良性肿瘤。因其在局部有沿孔道生长的恶性生长方式,侵犯周围组织能力较强,可致严重并发症。且具有肿瘤解剖位置深,易出血及复发率高的特点。随着影像检查方法的进步,肿瘤的起源及生长路线逐渐清晰,加之鼻内镜技术的应用和术者临床经验的提高,使得特定的解剖区域更易暴露,治疗后复发率下降。目前该病仍以手术治疗为主,手术难度大,术中出血量多,易残留复发。故术前、术中采取减少出血的措施及选择合适的手术方式就显得尤为重要。本文就鼻咽部纤维血管瘤近年来的诊疗研究进展及鼻内镜下手术切除肿瘤的应用技术等相关问题进行综述。
Nasopharyngeal fibro-hemangioma is a benign tumor that occurs in young men aged 16 to 25 and is rich in blood vessels. Because of its growth in the local path along the malignant growth, strong ability to encroach on the surrounding tissue, can cause serious complications. And has a deep tumor dissection, bleeding and high recurrence rate characteristics. With the progress of imaging examination, the tumor’s origin and growth route gradually clear, combined with the application of endoscopic technology and surgeon’s clinical experience, making a more specific anatomical region more exposed, the recurrence rate decreased after treatment. At present, the disease is still dominated by surgery, surgical difficulty, intraoperative blood loss, residual residual recurrence. Therefore, preoperative and postoperative measures to reduce bleeding and choose the appropriate surgical approach is particularly important. This review summarizes the recent advances in the diagnosis and treatment of nasopharyngeal fibroadenoma and the application of surgical resection of the tumor by endoscopic sinus surgery.