上颌窦出血坏死性息肉早期诊断(附20例报告)  

Early diagnosis of maxillary sinus hemorrhagic and necrotic polyps:With a report of 20 cases

作　　者：姜克亮[1] 王延翠[1] 王静[1] 马亚琳[1] 黄玉静[1] 

机构地区：[1]滕州市中心人民医院耳鼻咽喉科,277500

出　　处：《山东医大基础医学院学报》2000年第4期233-234,共2页

摘　　要：目的 :上颌窦出血坏死性息肉早期病变如局限于上颌窦内 ,鼻腔内无肿物 ,易忽略而延误诊断 ,故须研究早期病变的诊断方法。方法 :总结上颌窦出血坏死性息肉早期病变 2 0例的发病机理、手术方法及早期病变的诊断。结果 :肿物清除后出血即停止 ,术后随访 3个月～ 5年 ,鼻出血停止 ,病变无复发。结论 :对反复鼻出血尤其是单侧鼻出血 ,鼻腔内无出血部位 ,影像学提示上颌窦密度增高者 。Objective:If the early maxillary sinus hemorrhagic and necrotic polyps were confined in maxillary sinus and there was no phyma in nasal cavity,it was easy to be ignored and delayed for dignosis.So the early diagnosis should be studied .Method:20 cases of maxillary sinus hemorrhagic and necrotic polyps were reported and discussed the mechanism,surgical way and early dignosis.Result:There was no bleeding after cleaning the phyma,and there was no relapsing occured,with a follow up of 3 months to 5 years.Conclusion:To the patients who have repeated nosebleed,especially have one side bleeding,without bleeding point in nasal cavity and have high density of maxillary sinus through X ray,the maxillary sinus should be early explored to make a definite diagnosis.

关 键 词：上颌窦 息肉 诊断 耳鼻咽喉科 外科手术 

分 类 号：R765.250.4[医药卫生—耳鼻咽喉科]