鼻腔毛细血管型和海绵状血管型瘤的临床差异。
Clinical Difference Between Capillary and Cavernous Hemangiomas of Nasal Cavity.
机构信息
Department of Otolaryngology, Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Jeonnam, South Korea.
出版信息
J Craniofac Surg. 2021 May 1;32(3):1042-1044. doi: 10.1097/SCS.0000000000007250.
OBJECTIVE
The authors analyzed the clinical characteristics and treatment results of capillary and cavernous hemangiomas in the nasal cavity.
PATIENTS AND METHODS
A total of 14 patients who underwent surgical treatment for sinonasal hemangiomas between January 2010 and May 2020 were analyzed. The study population was subdivided into capillary and cavernous hemangiomas groups.
RESULTS
The 14 patients with sinonasal hemangiomas involved 8 (57.1%) capillary hemangiomas and 6 (42.9%) cases of cavernous hemangioma. Clinical features, such as age, gender, medical condition, symptom, duration of symptom, size and site of sinonasal hemangiomas, surgery, anesthesia method, treatment outcomes, and recurrence of capillary and cavernous hemangiomas of nasal cavity showed no statistically significant difference (P > 0.05). A case of relapse involving a patient with cavernous hemangioma of vestibule was observed without recurrence after reoperation.
CONCLUSION
The comparison of clinical features of capillary and cavernous hemangiomas of nasal cavity showed no statistical significance. Transnasal endoscopic tumor removal including the surrounding structure is a safe and effective procedure for sinonasal hemangiomas.
目的
分析鼻腔毛细血管和海绵状血管瘤的临床特征和治疗结果。
方法
分析 2010 年 1 月至 2020 年 5 月期间因鼻窦血管瘤接受手术治疗的 14 例患者。研究人群分为毛细血管和海绵状血管瘤组。
结果
14 例鼻窦血管瘤患者中，8 例（57.1%）为毛细血管血管瘤，6 例（42.9%）为海绵状血管瘤。鼻腔毛细血管和海绵状血管瘤的临床特征，如年龄、性别、身体状况、症状、症状持续时间、鼻窦血管瘤的大小和位置、手术、麻醉方法、治疗效果和复发率无统计学差异（P>0.05）。观察到一例复发性鼻腔前庭海绵状血管瘤患者，再次手术后无复发。
结论
鼻腔毛细血管和海绵状血管瘤的临床特征比较无统计学意义。经鼻内镜肿瘤切除术包括周围结构是治疗鼻窦血管瘤的一种安全有效的方法。
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