摘要
目的 :探讨以鼻出血为特征的上颌窦病变的诊断和治疗。方法 :回顾分析 1 995年 1月至 1 999年6月住院治疗 2 7例患者的临床资料。结果 :2 2例患者经手术切除窦内病变 ,病理证实为上颌窦息肉、出血坏死性息肉 ,血管瘤 ,乳头状瘤 ,曲霉菌性上颌窦炎等疾病。其中 1 4例行上颌窦根治术 ,6例行上颌窦根治伴窦内筛窦开放或鼻内筛窦开放术 ,2例行功能性上颌窦手术。术后恢复良好 ,随访 0 .5~ 4年 ,除 1例失访 ,无复发。结论 :要提高对以鼻出血为特征的上颌窦病变的认识 ,鼻窦 CT扫描有助于诊断 ,手术切除病灶效果良好。
Objective:To investigate the diagnosis and treatment of the maxillary sinus lesions characterized by nasal hemorrhage.Method: Twenty seven cases were retrospected,and 22 of them were treated by surgical operation.Results: The specimen resected from 22 cases by endoscopic sinuses surgery were taken pathological examination and diagnosed as the maxillary sinus lesions including maxillary sinuses polyp,hemorrhage and necrosis of polyp,anginoma,papilloma and fungal sinusitis etc.Among them,14 cases were treated with maxillary sinus radical treatment, 6 cases were accompanied by treatment of ethmoidotomy of sinus or of nasus,2 cases were undergone functional maxillary antrum operation. Followed up from 6 months to 4 years, no recurrence and complication occurred.Conclusion: CT scanning for nasal sinuses lesion is helpful in diagnosis.It is more effective that the maxillary sinus lesions have been resected by endoscopic sinuses surgery.
关键词
上颌窦
鼻出血
外科手术
耳鼻喉
Maxillary sinus
Epistaxis
Surgery,otorhinolaryngologic