儿童上颌窦后鼻孔息肉研究进展  

Research progress of antrochoanal polyps in children

作　　者：张恒龙 马静[1] 高映勤[1] 明澄 王美兰[1] 陈泉东[1] 李正才[1] 张铁松[1] Zhang Henglong;Ma Jing;Gao Yingqin;Ming Cheng;Wang Meilan;Chen Quandong;Li Zhengcai;Zhang Tiesong(Department of ENT,Kunming Children's Hospital/Affiliated Children's Hospital of Kunming Medical University/Yunnan Children's Medical Center,Kunming 650228,China)

机构地区：[1]昆明市儿童医院/昆明医科大学附属儿童医院/云南省儿童医学中心,云南昆明650228

出　　处：《中国医学文摘（耳鼻咽喉科学）》2022年第3期104-109,共6页Chinese Medical Digest(Otorhinolaryngology)

基　　金：昆明医科大学2021年研究生创新基金(项目编号:2021S082)。

摘　　要：上颌窦后鼻孔息肉(antrochoanal polyps,ACP)是一种鼻腔鼻窦疾病,是指息肉来源于上颌窦内,经上颌窦口或副上颌窦口突出上颌窦外,再沿鼻道向后垂落到后鼻孔甚至鼻咽部。ACP可以在各个年龄阶段发生,但是在青少年及儿童当中发病率远高于成年,主要的辅助检查是鼻内镜和鼻-鼻窦CT检查。关于ACP的发病机制和病因有许多文献报道,但是目前仍然存在着很大的争议。目前ACP保守治疗的效果都不佳,手术是唯一有效的的治疗方式,随着对疾病的认识,手术方式也在不断地改进。对儿童上颌窦后鼻孔息肉的研究目前仍然比较少,需要我们大家投入更多的时间和精力进行探讨。The antrochoanalpolyps (ACP) is a disease of nasal cavity and paranasal sinuses,which means that polyps originate from the maxillary sinus,protrude out of the maxillary sinus through the ostium of maxillary sinus or accessory maxillary sinus,and then fall back to the posterior nostril or even nasopharynx along the nasal passage.ACP can occur at all ages,but the incidence among adolescents and children is much higher than that of adults.The main auxiliary examinations are nasal endoscopy and nasal-sinus CT examination.There are many literature reports on the pathogenesis and etiology of ACP,but there are still great controversies at present.At present,the effect of ACP conservative treatment is not good,and surgery is the only effective treatment.With the understanding of diseases,the surgical methods are constantly improving.At present,there are still few studies on children’s maxillary sinus and nostril polyps,which need us to invest more time and energy to discuss.

关 键 词：后鼻孔息肉 上颌窦 腺泡阻塞 儿童 

分 类 号：R78[医药卫生—口腔医学]