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鼻腔鼻窦出血性坏死性息肉42例
引用本文:雷爱军,张岩,孙乐,闻雨婷. 鼻腔鼻窦出血性坏死性息肉42例[J]. 吉林医学, 2007, 28(7): 891-892
作者姓名:雷爱军  张岩  孙乐  闻雨婷
作者单位:吉林大学第一医院耳鼻咽喉头颈外科,吉林长春130021
摘    要:目的:探讨鼻腔鼻窦出血性坏死性息肉的临床特点及最佳手术方式。方法:对42例鼻腔鼻窦出血性坏死性息肉分别采用柯-陆手术、登戈尔手术、鼻侧切开术及鼻内窥镜手术方法治疗。结果:全组病例术后临床症状均消失,痊愈出院。术后病理均为炎性出血性坏死性息肉。随访4个月~4年均无复发。结论:鼻腔鼻窦出血性坏死性息肉是鼻息肉的一种特殊类型,可发生于任何年龄,影像学可见窦壁骨质破坏,但具有其特点。手术是本病的有效治疗手段,且鼻内窥镜手术应为首选术式。

关 键 词:息肉  出血  坏死  内窥镜
文章编号:1004-0412(2007)07-0891-02
收稿时间:2007-04-23
修稿时间:2007-04-23

Hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity: a report of 42 cases
LEI Ai-jun,ZHANG Yan,SUN Le,et al. Hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity: a report of 42 cases[J]. Jilin Medical Journal, 2007, 28(7): 891-892
Authors:LEI Ai-jun  ZHANG Yan  SUN Le  et al
Affiliation:Department of Otolaryngology- Head and Neck Surgery,the First Hospital of Jilin University, Changchun 130021, China
Abstract:Objective To evaluate the clinical characteristics and best surgical method of hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity.Method Forty-two cases with hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity were treated with caldwell-luc operation,Denker's operation,lateral rhinotomy and endoscopic sinus operation.Results All the cases were cured and confirmed to be hemorrhagic and necrotic polyps by postoperative pathologic diagnoses.With subsequent follow-up for 4~48 months,no recurrence was found. Conclusion Hemorrhagic and necrotic polyps in maxillary sinus and nasal cavity can appear in every age,and is a special type of polyps.Compressive bone absorption is often seen in inter-wall of maxillary sinus.Operation is the effective therapy and endoscopic sinus operation is the best one.
Keywords:Polyp   Hemorrhage    Necrosis   Endoscope
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