[后筛窦鼻后孔息肉的诊断与治疗]
[Diagnosis and therapy of choanal polyps from posterior ethmoid sinus].
作者信息
Chen Feng, Gao Xia, Yu Chenjie, Dai Yanhong, Chen Jie, Qin Daofen
机构信息
Department of Otolaryngology, Drum Tower Hospital, Affiliated with Nanjing University Medical School, Nanjing, 210008, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008 Jul;22(14):637-8, 641.
OBJECTIVE
To investigate the clinical feature, diagnosis and endoscopic surgery of choanal polyps (CP) from posterior ethmoid sinus.
METHOD
Eleven cases with CP from posterior ethmoid sinus treated by endoscopic endonasal surgery between January 2002 to June 2007 were retrospectively reviewed. Clinical manifestation, intranasal and intrasinus lesions, methods and attentions of endoscopic surgery and therapeutic effects were analysed.
RESULT
All cases were treated by endoscopic surgery and CP were found originated from posterior ethmoidal ostium. Lesions in posterior ethmoid sinus included 3 (27.3%) cyst, 5 (45.4%) polyp and 3 (27.3%) mucosal edema. No operation complications were observed. The follow-up period ranged from 6 months to 3 years (mean 1.2 years) and no recurrence was founded.
CONCLUSION
Most of CP originated from posterior ethmoidal ostium and its formation might be related to the cyst in the sinus. Endoscopic surgery represents a minimally invasive and highly successful procedure, complete removal of CP and lesions in the sinus can reduce the recurrence.
目的
探讨后筛窦鼻后孔息肉（CP）的临床特征、诊断及鼻内镜手术治疗。
方法
回顾性分析2002年1月至2007年6月期间采用鼻内镜下经鼻手术治疗的11例后筛窦鼻后孔息肉患者的临床资料。分析其临床表现、鼻腔及鼻窦内病变情况、鼻内镜手术方法及注意事项以及治疗效果。
结果
所有患者均采用鼻内镜手术治疗，发现鼻后孔息肉均起源于后筛窦开口。后筛窦内病变包括囊肿3例（27.3%）、息肉5例（45.4%）、黏膜水肿3例（27.3%）。未观察到手术并发症。随访时间6个月至3年（平均1.2年），无复发。
结论
大多数鼻后孔息肉起源于后筛窦开口，其形成可能与鼻窦内囊肿有关。鼻内镜手术是一种微创且成功率高的手术方法，完整切除鼻后孔息肉及鼻窦内病变可降低复发率。
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