摘要
目的:总结上颌窦出血性息肉16例,并对该病名称进行讨论。方法:回顾性分析我院收治的16例本病的临床及病理资料,并复习有关文献。结果:16例均行手术切除,经1-6年随访,未见复发。术后病理切片的特征为息肉、出血、坏死、机化组织并存。结论:本病的术前诊断应依靠CT和MRI的综合判断,必要时结合可靠的术前活检。手术是治疗本病的有效手段,鼻内窥镜手术为首选手术方式。对息肉是发病原因还是结果有不同的看法,因而对本病的命名尚无一致意见,有待深入研究。
Objective： To study the clinical characteristics and surgical outcomes of infarcted angiomatous polyps in the maxillary sinus.Methods： Clinical data of 16 patients with pathologically proved infarcted angiomatous polyps in the maxillary sinus who underwent surgery were retrospectively reviewed.Results： Total surgical removal was achieved in all 16 cases.All 16 patients had successful outcomes without recurrence over 1 year to 6 years＇ follow-up.Characteristic histological findings were mixture of polyps,hemorrhage,necrotic and organized tissues.Conclusion： The preoperative diagnosis for infarcted angiomatous polyps of the maxillary sinus depends on CT,MRI findings and the preoperative biopsy.Surgical evacuation is the main treatment,and it can be successfully treated by endonasal endoscopic surgery under precise preoperative diagnosis and careful surgical planning.Since the pathogenesis is unclear,there is no consensus on the diagnostic term of this disease entity,thus further investigation is needed.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2012年第4期600-602,共3页
Medical Journal of Wuhan University
关键词
上颌窦出血性息肉
诊断
治疗
鼻内窥镜手术
Infarcted Angiomatous Polyps
Maxillary Sinus
Diagnosis
Treatment
Endonasal Endoscopic Surgery
