上颌窦出血坏死性息肉3例临床分析  

Clinical Analysis of Three Cases with Hemorrhagic Necrosis Polypus of Maxillary Sinus

作　　者：后农生[1] 于兆祥[1] 王淑菊 

机构地区：[1]北华大学附属医院,吉林吉林132011 [2]舒兰市医院,吉林舒兰132600

出　　处：《北华大学学报（自然科学版）》2008年第3期253-255,共3页Journal of Beihua University（Natural Science）

摘　　要：目的探讨上颌窦出血坏死性息肉的病理、命名、临床特点．方法回顾性总结3例典型病例．结果上颌窦出血坏死性息肉的病理是鼻出血、变性坏死、血管增生机化、黏膜炎症、息肉样改变等为基本病理改变．临床特点是患者长期反复鼻流血或鼻涕带血、鼻塞，中鼻道黏膜多有水肿、息肉样改变．CT显示上颌窦密度均匀或不均匀增高，上颌窦膨胀性扩大，内壁吸收破坏．经鼻内镜下手术可见：上颌窦内充满一完整的暗红色团块组织．手术完全清除后可痊愈．结论本病单侧多发，是由上颌窦内积血、积血机化压迫上颌窦各壁诱发的以长期鼻出血、鼻阻塞为主要症状，CT多表现为占位性病变，是一种少见的鼻部良性疾病，手术可治愈．Objective To discuss the pathology, denomination and feature of the hemorrhagic and necrosis polypus of maxillary sinus. Methods We performed a review of 3 typical cases. Results The pathology of hemorrhagic and necrosis polypus of maxillary sinus is hematoma, necrosis, blood vessel proliferation and organizing hematoma; mucosa is in inflammation and polypoid. The clinic features are epistaxis, nasal congestion. Paranasal sinus CT scans show unilateral expansile maxillary pacification, homogeneous or heterogeneous enhancement, bony destruction. Maxillary sinus is full of dark red tissue. The operation can cure the disease. Condusion The pathology is organizing hematoma. The features are epistaxis, nasal congestion, mucosa in inflammation and pulpiness. CT shows an entity in the maxillary sinus and operation can cure the disease.

关 键 词：上颌窦 血肿 出血 坏死 机化 

分 类 号：R767[医药卫生—耳鼻咽喉科]