复发性鼻息肉形成的临床及病理学观察  

Clinical and pathological observation of recurrent nasal polyp formation

作　　者：陈文文[1] 孙琴[1] 邓亚新[1] 

机构地区：[1]上海市第四人民医院耳鼻咽喉科

出　　处：《中华耳鼻咽喉科杂志》1997年第1期15-17,共3页Chinese Journal of Otorhinolaryngology

摘　　要：为观察、分析鼻息肉复发的过程，回顾性分析了有详细记录的１９例（３７侧）鼻息肉从初成到完全形成的过程；这些病例来自１３０例（２３２侧）显微手术切除鼻息肉后长期随访（１～８年）。６例作了分泌物细菌培养，４例作了３次以上病理学检查。发现术后鼻息肉复发通过水囊泡型（快速复发）和水肿性肉芽增生型（缓慢复发）两种方式，都是组织炎性反应的结果，尤其水囊泡的形成是较强烈的炎性反应的表现，可能与手术创伤有关，细菌培养未发现明显感染。提出对两种类型的不同处理方法。To investigate the mechanism of nasal polyp recurrence, 19 patients with recurrent nasal polyp were retrospectively analysed. In 4 patients, nasal polyp specimens had been sent for pathological examination more than three times, and in 6 patients, bacteria culture was performed. There were two types of recurrent nasal polyp: water cyst type (fast recurrence) and edematous granulation type (slow recurrence). Both types were the result of inflammatory reaction, perhaps related to trauma of operation. Water cyst formation indicated stronger inflammatory reaction. During follow up, 10 patients were cured and 9 recurred. Preventive measures against nasal polyp recurrence were discussed.

关 键 词：鼻息肉 复发 病理学 

分 类 号：R765.250.2[医药卫生—耳鼻咽喉科]