CAJ | 학술논문

目的：分析上颌窦来源的后鼻孔息肉临床特点和治疗方法。方法分析37例成人上颌窦后鼻孔息肉患者的临床资料。35例患者在全麻下经鼻内镜行鼻息肉切除术，2例局麻鼻内镜行鼻息肉切除术。结果1年随访治愈率达96％。33例CT 检查患侧上颌窦软组织影，其中5例窦口扩大，13例伴有患侧或双侧鼻窦炎。术中见息肉发生在上颌窦口周围29例，上颌窦内黄色黏液囊肿5例，脓液21例。筛窦口5例，术后随访6月至1年。结论上颌窦源性后鼻孔息肉的特殊病理特征及临床表现说明彻底切除上颌窦内和窦口区病变黏膜、保留正常黏膜术彻底保持鼻腔通气治疗的关键。
목적：분석상합두래원적후비공식육림상특점화치료방법。방법분석37례성인상합두후비공식육환자적림상자료。35례환자재전마하경비내경행비식육절제술，2례국마비내경행비식육절제술。결과1년수방치유솔체96％。33례CT 검사환측상합두연조직영，기중5례두구확대，13례반유환측혹쌍측비두염。술중견식육발생재상합두구주위29례，상합두내황색점액낭종5례，농액21례。사두구5례，술후수방6월지1년。결론상합두원성후비공식육적특수병리특정급림상표현설명철저절제상합두내화두구구병변점막、보류정상점막술철저보지비강통기치료적관건。
Objective To explore the clinical characteristics of antrochoanal polyps .Methods The clinical data of 3 7 cases of antrochoanal polyps were analyzed retrospectively .The polyps from these patients were fixed inthen the specimens were characteristics .Results All 37 patients were cured after 3 years’follow up .The antrochoanal polyps were usually unilateral .The main symptom was progressive nasal obstruction .Macroscopi-cally ,the polypi had a cystic intra - maxillary sinus portion and a solid intranasal portion ,were covered by pseudostratified ciliated columnar epithelium .The inflammatory cell infiltration in submucous tissue was mainly that of neutrophilic granulocyte but with few acidophilic cell .Goblet cells edema and cyst were also found in the submucous tissue .Conclusions The pathological characteristics and clinical features indicate that ntrochoanal polyps have a different pathogenesis compared with the usual nasal polyps ,so the clinical treatment of antro-choanal olyps should be different from that of the usual nasal polyps .