鼻内镜下治疗上颌窦出血坏死性息肉63例分析

Clinical analysis of infarcted angiomatous nasal polyps of maxillary sinus (63 cases)

摘要:

目的  探讨上颌窦出血坏死性息肉的临床诊断及治疗方法，提高对该病的认识。方法  回顾性分析2002年-2013年上颌窦出血坏死性息肉接受鼻内镜手术治疗63例患者的临床资料。其中，采用单纯鼻内镜手术31例，鼻内镜联合下鼻道开窗8例，鼻内镜联合改良柯陆术式13例，鼻内镜下泪前隐窝入路11例，术后进行随访。结果  所有患者术前行鼻窦CT检查，并经术后病理证实为上颌窦出血坏死性息肉或炎性息肉伴出血坏死，随访6个月～10年均无复发。结论  鼻内镜手术为该病首选治疗方案，鼻窦CT检查可为上颌窦出血坏死性息肉的诊断和治疗提供参考，确诊依赖于组织活检。

Abstract:

【Objective】 To investigate the diagnosis and treatment of infarcted angiomatous nasal polyps and improve the recognition of this disease. 【Methods】 Retrospective analysis of the patients treated in our department for infarcted angiomatous nasal polyps of maxillary sinus from 2002 to 2013. 31 patients were treated with endoscopic nasal resection only and 8 cases were treated by endoscopic plus inferior meatus antrostomy approach, 13 patients were treated with endoscopic combined modified Caldwell-Luc technique and 11 cases were treated by endoscopic anterior lacrimal recess approach. 【Results】 All patients were confirmed by histopathology. The follow-up period ranged from 6 months to 10 years and none was found to have recurrence. 【Conclusions】 Endoscopic sinus surgery is the first choice for the treatment of this disease. CT scanning of nasal sinus is an effective way for diagnosis and treatment and final diagnosis depends on biopsy.