上颌窦胆固醇肉芽肿5例分析

Cholesterol granuloma of the maxillary sinus

目的:探讨上颌窦胆固醇肉芽肿的病因、发病机制以及治疗方法。方法:所有患者均行上颌窦根治术。结果:所有患者均病理诊断为鼻窦胆固醇肉芽肿,随访2个月～12年,均未见复发。结论:本病病因为高血脂症,含气腔通气受阻,引流障碍。确诊需要病理检查,治疗上应对高脂血症进行干预与治疗,手术可以根治。

Objective：To investigate the etiololgy and pathogenesis of cholesterol granuloma of the marillary sinus. Method：Five patients with cholesterol granuloma of the maxillary sinus were analysed retrospectively. Resuit：The cholesterol granuloma was a particular form of tissue reactions of granulation. The clinical symptoms of the disease was short of specificity. Conclusion： The pathogenesis of cholesterol granuloma includes hyperlipemia, obstruction of airfilied cavity ventilation and impaired drainage. The final diagnosis was based on pathologic exami nation. The treatment should begin with the intervention and treatment of hyperilpemia. Radical cure can be a chieved by operation.