鼻腔鼻窦出血性息肉的诊断和手术治疗(附23例报告)  

The diagnosis and surgical treatment for bleeding polyp in paranasal sinus and nasal cavity (with 23 cases reported)

作　　者：王豪[1] 丘华光[2] 沈志忠[2] 姚卓华[1] 

机构地区：[1]汕头大学医学院第二附属医院耳鼻咽喉科,广东汕头515041 [2]汕头大学医学院第一附属医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉科杂志》2005年第11期496-497,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的:总结鼻腔鼻窦出血性息肉的临床表现和影像学特征,以减少误诊和避免术式扩大化。方法:23例经病理确诊、资料完整的鼻腔鼻窦出血性息肉患者均行手术切除。1例疑鼻窦恶性肿瘤行鼻侧切开,2例经前鼻孔切除,余20例行上颌窦根治术。结果:术后全部确诊为鼻腔鼻窦出血性息肉。随访8个月～10年,无复发。结论:本病术前诊断靠综合判断,上颌窦穿刺及鼻窦CT对诊断有一定价值,最后确诊依赖术中肉眼观察及术后病理检查。手术是惟一有效的治疗方法,上颌窦根治术是本病较适宜的术式。Objective:To study the diagnosis and the therapy for bleeding polyp in paranasal sinus and nasal cavity(BPPSNC),and to improve its diagnosis and treatment level.Method:A retrospective analysis was performed on 23 cases with BPPSNC by the diagnosis and the therapy.Result:Before operation,three cases were considered as malignant tumor,and five cases could not be diagnosed definitely.Cald well-Luc operation was perfoumed on 20 cases, only one case was performed by lateral rhinotomy and two cases were performed by nasal approach. Following up for 0.8 to 10 years , all cases were cured.Conclusion:The primary definite diagnosis is difficult before operation.Puncture and irrigation of the maxillary sinus is very valuable for the diagnosis of BPPSNC. It is important for CT scanning to diagnose and design the operative method of BPPSNC.It is a good surgical approach that Cald well-Luc operation is performed for BPPSNC.

关 键 词：鼻息肉 鼻出血 诊断显像 外科手术 

分 类 号：R765.25[医药卫生—耳鼻咽喉科]