鼻内窥镜下诊治Killian息肉22例

Diagnosis and treatment of Killian's polyp under nasal endoscope

：探讨内窥镜检查和手术治疗Ｋｉｌｌｉａｎ息肉的优越性。方法：分析应用鼻内窥镜检查和手术治疗２２例Ｋｉｌｌｉａｎ息肉患者的临床资料。结果：术前行鼻内窥镜检查可清楚地窥见息肉的来源和发现上颌窦的病变，较之ＣＴ和互线对于鉴别诊断和手术更具指导意义。结论：鼻内窥镜手术治疗Ｋｉｌｌｉａｎ息肉既能根治病灶，又能保留粘膜功能，但对于窦内病变严重者，上颌窦根治手术仍为最佳选择。表明鼻内窥镜下诊治Ｋｉｌｌｉａｎ息肉是颇具优越性的。

Objective:To further understand the advantage of examination and operation for killian's polypunder nasal endoscope. Method: 22 cases with Killian's Polyps were diagnosed and treated under nasal endo- scope. Result and Conclusion: Before operation, examination under nasal endoscope may clearly find origin of thepolyp and fed in makillary sinus, which plays more important role in differential diagnosis and operation than CTor X-ray test. Operative treatment of Killian's polyp under nasal endoscope can not only eradicate fool but also reserve function of mucosa, but for severe fool in the maxillary sinus, the optimum operation should be Caldwell-Luc antrotomy.