摘要
目的:探讨孤立性蝶窦后鼻孔息肉的诊断及鼻内窥镜下手术方法,提高诊治水平。方法:收治孤立性蝶窦后鼻孔息肉患者3例,回顾性分析临床资料。结果:3例术前均行鼻窦CT及鼻内镜检查;明确诊断后在鼻内镜下手术,查清根蒂起源,开放窦口,彻底咬除息肉根蒂。3例经随访6个月,蝶窦黏膜光滑,无复发,均治愈。结论:鼻窦CT及术前鼻内镜检查是确定后鼻孔息肉根蒂起源的主要方法;鼻内镜下彻底钳除蝶窦口周及窦内息肉根蒂是蝶窦后鼻孔息肉手术治疗的重点,是防止术后复发的关键。
Isolated sphenoid sinus poly which prolapses to posterior naris is a relatively uncommon disease. In this study, we investigate the diagnosis and endoscopic sinus surgery of the disease in order to im- prove our clinical ability. Methods： Retro- spective analysis three cases suffering from isolated sphenoid sinus polyp. Results： Rhi- hal sinus CT scan and endoscopic sinus ex- amination were applied before operation to three cases suffering from isolated sphenoid sinus polyp which prolapses to posterior na- ris. The polyp was completely removed through endoscopic sinus surgery. The three patients are entirely cured after operation. Follow up for 6 months, no relapse occur. Conclusion： The main preoperation method of detecting the origin of polyps which pro- lapse to posterior naris is Rhinal sinus CT scan combined with carefully endoscopic si- nus examination. And we should entirely re- move the pedicel of sphenoid sinus polyp during endoscopic sinus surgery. It＇ s the key point of preventing relapse.
关键词
蝶窦
鼻息肉
鼻内镜术
Sphenoid sinus
Nasal polyps
Endoscopic sinus surgery
