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目的 :探讨以鼻出血为特征的上颌窦病变的诊断和治疗。方法 :回顾分析 1 995年 1月至 1 999年6月住院治疗 2 7例患者的临床资料。结果 :2 2例患者经手术切除窦内病变 ,病理证实为上颌窦息肉、出血坏死性息肉 ,血管瘤 ,乳头状瘤 ,曲霉菌性上颌窦炎等疾病。其中 1 4例行上颌窦根治术 ,6例行上颌窦根治伴窦内筛窦开放或鼻内筛窦开放术 ,2例行功能性上颌窦手术。术后恢复良好 ,随访 0 .5～ 4年 ,除 1例失访 ,无复发。结论 :要提高对以鼻出血为特征的上颌窦病变的认识 ,鼻窦 CT扫描有助于诊断 ,手术切除病灶效果良好。
Objective: To investigate the diagnosis and treatment of maxillary sinus lesions characterized by epistaxis. Methods: The clinical data of 27 hospitalized patients from January 1995 to January 1999 were retrospectively analyzed. RESULTS: Twenty-two patients underwent surgical resection of sinus lesion. The pathological findings were maxillary polyps, hemorrhagic necrotic polyps, hemangiomas, papillomas and aspergillosis maxillary sinusitis. Among them, maxillary sinus radical mastectomy was performed in 14 cases, radical mastectomy in 6 cases, open ethmoid sinus or open intranasal ethmoid sinus in 6 cases, and functional maxillary sinus surgery in 2 cases. Postoperative recovery was good, follow-up 0.5 to 4 years, except one case of lost, no recurrence. Conclusion: To improve the understanding of maxillary sinus lesions characterized by nasal hemorrhage, CT scan of the paranasal sinuses is helpful for the diagnosis and surgical resection of the lesion is effective.