摘要
目的通过分析上颌窦出血坏死性息肉患者的临床资料,探讨其有效的诊治方法。方法总结分析34例经鼻内镜手术治疗上颌窦出血坏死性息肉患者的临床资料,包括术前临床表现、检查、治疗方法及术后病理诊断。结果术前鼻内镜检查无特异性表现。鼻窦CT增强扫描轻度强化,27例提示上颌窦内密度不均匀,局部骨质压迫性吸收,多见上颌窦内侧壁,并存骨壁硬化增厚,准确率为79.17%(27/34)。经鼻内镜手术治疗34例,术后病理均确诊为上颌窦出血坏死性息肉,随访7～24月,无复发。结论鼻窦CT能反映上颌窦出血坏死性息肉的病理学特征,有助于明确诊断。经鼻内镜微创手术效果确切,是其治疗最佳方法。
Objective To explore effective diagnosis and treatment of the maxillary sinus hemorrhagic and necrotic polyps by analysis the case data of this disease.Methods Summarize and analyze cases of 34 patients suffered from the maxillary sinus hemorrhagic and necrotic polyps whom were treated by endoscopic sinus surgery in our hospital from May 2004 to September 2009,the data of cases including preoperative clinical manifestation,inspection,treatment methods and postoperative pathologic diagnosis.Results No specific performance was found by preoperative nasal endoscopy.CT enhanced scan showed that mild strengthening sinus,and 27 cases with hint antrum the density uneven,local bone absorption,and the accuracy rate of diagnosis is 79.17%.The 34 cases diagnosed with antrum bleeding and necrotic polyps by postoperative pathology were treated by endoscopic sinus surgery,no recurrence was found by follow-up of 7~24 months.Conclusions CT scan can help confirm the diagnosis of hemorrhagic and necrotic polyps for the maxillary sinus hemorrhagic polyp in the clinical manifestations of non-specific sinus,and the minimally invasive endoscopic surgery via sinus is the best way to treatment.
出处
《中南医学科学杂志》
CAS
2013年第3期301-303,320,共4页
Medical Science Journal of Central South China
关键词
上颌窦
鼻内镜手术
鼻出血
息肉
maxillary sinus
nasal endoscopic surgery
epistaxis
polyp
