鼻内镜手术治疗后鼻孔息肉

Endoscopic sinus surgery for choanal polyps

目的:探讨后鼻孔息肉的诊断和鼻内镜手术治疗的方法和疗效。方法:回顾性分析1998～2008年行鼻内镜手术56例后鼻孔息肉患者的临床资料。结果:56例患者中,50例源自鼻窦囊肿或息肉,其中,上颌窦46例,前组筛窦2例,后组筛窦1例,另1例来自蝶窦。源于囟门2例,源于中鼻甲和嗅沟鼻中隔各2例。所有病例均在鼻内镜下手术,随访1～3年,2例复发在鼻内镜下行二次手术治愈。结论:鼻内镜手术治疗后鼻孔息肉微创、安全、有效。彻底切除鼻息肉蒂基部,才能有效防止复发。

Objective：To investigate diagnosis of choanal polyps（CP） and to analyze the outcome of endoscopic sinus surgery（ESS） in patients with CP.Methods：The clinical data of 56 patients with CP underwent ESS from 1998 to 2008 were studied retrospectively.Results：Among 56 cases with CP,50 cases originated from the cyst or polyp in sinus（among them,46 cases from maxillary sinus,2 cases from anterior ethmoid,1 case from posterior ethmoid sinus and 1 from sphenoid sinus）.2 cases from nasal fontaneles,2 cases and 2 cases from middle turbinate and nasal septun.All cases were treated by complete excision of the CP.During follow-up 1 to 3 years,2 cases were recurred,who were cured undergoing a second operation.Conclusion：Endoscopic surgery is mini-invasive,safe and effective in treatment of CP and completes removal of CP root that can effectively reduce the recurrence.