鼻腔鼻窦出血性坏死性息肉42例  

Hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity:a report of 42 cases

作　　者：雷爱军[1] 张岩[1] 孙乐[1] 闻雨婷[1] 

机构地区：[1]吉林大学第一医院耳鼻咽喉头颈外科,吉林长春130021

出　　处：《吉林医学》2007年第7期891-892,共2页Jilin Medical Journal

摘　　要：目的：探讨鼻腔鼻窦出血性坏死性息肉的临床特点及最佳手术方式。方法：对42例鼻腔鼻窦出血性坏死性息肉分别采用柯-陆手术、登戈尔手术、鼻侧切开术及鼻内窥镜手术方法治疗。结果：全组病例术后临床症状均消失,痊愈出院。术后病理均为炎性出血性坏死性息肉。随访4个月-4年均无复发。结论：鼻腔鼻窦出血性坏死性息肉是鼻息肉的一种特殊类型,可发生于任何年龄,影像学可见窦壁骨质破坏,但具有其特点。手术是本病的有效治疗手段,且鼻内窥镜手术应为首选术式。Objective To evaluate the clinical characteristics and best surgical method of hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity. Method Forty -two cases with hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity were treated with caldwell - lue operation, Denker＇s operation, lateral rhinotomy and endoscopic sinus operation. Results All the eases were cured and confirmed to be hemorrhagic and necrotic polyps by postoperative pathologic diagnoses. With subsequent follow - up for 4 - 48 months, no recurrence was found. Conclusion Hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity can appear in every age, and is a special type of polyps. Compressive bone absorption is often seen in inter - wall of maxillary sinus. Operation is the effective therapy and -endoscopic sinus operation is the best one.

关 键 词：息肉 出血 坏死 内窥镜 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]