蝶窦后鼻孔息肉的诊断和治疗(附3例报告)

Diagnosis and treatment of sphenochoanal polyp (3 cases report)

目的:探讨鼻内镜在蝶窦后鼻孔息肉的诊断和治疗中的作用。方法:3例蝶窦后鼻孔息肉患者均在鼻内镜下切除息肉。结果:术后平均随访12个月,3例患者头痛及鼻塞症状均消失,息肉未复发,无并发症发生。结论:鼻内镜检查和CT扫描是诊断蝶窦后鼻孔息肉的重要辅助方法;经鼻内镜手术是蝶窦后鼻孔息肉的首选治疗方法。

Objective:To investigate the role of transnasal endoscope in the diagnosis and treatment of sphenochoanal polyp.Method:Three cases of sphenochoanal polyp underwent transnasal endoscopic polypectomy and sinus surgery.Result:The patients were free of nasal obstruction and headache after operation.There were no recurrence and complications in the average 12 months of follow-up period.Conclusion:Endoscopic examination and CT scan are important in the diagnosis of sphenochoanal polyp.Endoscopic sinus surgery (ESS) is the treatment of choice in the management sphenochoanal polyp.