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目的探讨后鼻孔息肉的起源、临床特点、鼻内镜下的治疗及疗效。方法回顾性分析2003年6月~2006年6月在本院经鼻内镜手术治疗的后鼻孔息肉病例22例,并对后鼻孔息肉的临床特点、检查方法、鼻内镜手术方法、疗效等相关因素进行分析、讨论。结果双侧后鼻孔息肉中起源于上颌窦有19例,起源于蝶窦有1例,起源于中鼻甲的有2例。22例均经鼻内镜手术,术中均未出现严重并发症,术后随访3个月~1年,都无复发。结论后鼻孔息肉多源于上颌窦,也可源发于蝶窦、中鼻甲等部位。鼻内镜手术为治疗后鼻孔息肉的首选治疗方法。
Objective To investigate the origin, clinical features, treatment and efficacy of nasal endoscopic polypectomy. Methods A retrospective analysis of 22 cases of posterior nosocomial polyps treated by endoscopic sinus surgery in our hospital from June 2003 to June 2006 was performed. The clinical features, methods of examination, endoscopic sinus surgery, efficacy and so on Related factors for analysis, discussion. Results Bilateral nostril polyp originated in maxillary sinus 19 cases, originated in the sphenoid sinus in 1 case, originated in the middle turbinate in 2 cases. All 22 patients underwent endoscopic sinus surgery. No serious complications occurred during the operation. All cases were followed up for 3 months to 1 year without recurrence. Conclusion nostril polyp originated from the maxillary sinus, but also originated in the sphenoid sinus, middle turbinate and other parts. Nasal endoscopic surgery for the treatment of nostril polyps preferred treatment.