ĐÁNH GIÁ PHẪU THUẬT NỘI SOI LẤY U SỢI MẠCH VÒM MŨI HỌNG

Abstract

Objective: To evaluate the effectiveness of endoscopic surgery in treating nasopharyngeal angiofibroma, focusing on criteria of complete gross tumor resection, blood loss control, complications, postoperative follow-up, and recurrence rate. Methods: A descriptive study conducted on 31 patients at the Ho Chi Minh City Ear, Nose, and Throat Hospital from July 2019 to July 2024. The patients were staged according to the Andrews and UPMC classifications. Results: According to the Andrews classification, stage II accounted for the highest proportion with 64.5% of patients; in the UPMC classification, stage I was most common, with 41.9%. 80.7% of patients underwent preoperative embolization. All surgeries were successful, with an average blood loss of 569.4 ml; 6 patients required blood transfusion. There was a statistically significant difference in blood loss among the UPMC stages (p = 0.045). The average hospital stay was 5 days. Postoperative CT follow-up showed a recurrence rate of 19.4% (6 cases). Conclusion: Endoscopic surgery demonstrated high effectiveness, avoiding external scars and facial deformities, helping control tumor spread, and reducing recovery time and hospital stay.