内窥镜下后鼻孔息肉的诊治

Diagnosis and treatment of the posterior nare nasal polyp by endoscope

目的探讨后鼻孔息肉的来源及诊治方法。方法回顾性分析35例后鼻孔息肉患者的临床资料。结果对35例患者经鼻内窥镜手术后随访半年以上,治愈29例(82.9%),好转6例(17.1%),手术均获成功。结论后鼻孔息肉以上颌窦来源为主,亦可来源于筛窦、钩突尾端、后囟门黏膜、蝶窦及后鼻孔周缘息变组织。根据鼻窦冠状CT,利用鼻内窥镜技术可探清息肉来源,经鼻内窥镜手术及规范的围手期治疗可获痊愈。

Objective To research the origin and the treatment of the treatment of the posterior hare nasd polyp. Methods The clinical data of 35 cases in our department were analysed retrospectively. Results 35 cases were operated by endoscope and follow - up were obtained for 6 months at least. The propotion of those cases were 29 （ 82.9% ） cases cured and 6 （ 17.1% ） cases effected. All operations were successful. Conclusion The source of the posterior hare nasal polyps is maxillary sinus mainly and secondary sources are ethmoid sinus, uncinate process end, posterior fontanel mucosa and polyposis tissue of the Breschet＇s sinus or posterior nasal rostrum. Based on the coronal section of computed tomography（CT） the source of polyps may be searched clearly and the operation might be completed successfully with nasal endoscope. By the standard treatment of peri - operation course this desease can be cured radically.