鼻内镜下不同手术径路治疗青少年上颌窦后鼻孔息肉的临床研究进展

Clinical research progress of different Endoscopic Sinus Surgery in the Treatment of Juvenile AntrochoanalPolyp

上颌窦后鼻孔息肉(ACP)作为一种良性病变,是指上颌窦自然窦口或者上颌窦副孔突出上颌窦外的增生组织,多见于儿童和青少年群体。现阶段,手术是ACP唯一能实现根治效果的治疗方式,经鼻内镜辅助下根据患者情况来合理选择手术路径,是提高其病变组织完全切除效果和降低术后复发风险的关键所在。基于此,本次研究通过阐述上颌窦后鼻孔息肉临床特点和发病机制,总结鼻内镜下不同手术径路的应用价值,为临床实现针对性治疗提供科学依据,仅供参考。

AntrochoanalPolyp(ACP),as a benign lesion,refers to the proliferative tissue outside the maxillary sinus from the natural orifice of the maxillary sinus or the hiatus maxillarisaccessorius,which are common in children and adolescent.Currently,surgery is the only treatment for ACP that achieves radical curative effect.Reasonable selection of surgical path assisted by nasal endoscopy according to the patients’condition is the key to improve the complete resection effect of pathological tissue and reduce the risk of postoperative recurrence.On this basis,this study expounds the clinical characteristics and pathogenesis of ACP and summarizes the application value of different surgical approaches under nasal endoscopy,thus providing a scientific basis for the clinical implementationof targeted treatment.