上顿窦出血坏死性息肉,是一种特殊类型的上颌窦炎症,临床上并不少见。其临床表现和特征类似恶性肿瘤,也可称为假性恶性肿瘤,容易误诊。现将我科1980～1995年经手术和病理证实的46例报告如下。 1.临床资料 46例中男25例,女21例,男女之比1.2:1,年龄:20～30岁4例,31～40岁28例,41～50岁8例,51岁以上6例,病程1～2年13例,3～4年26例,5～6年7例,职业分布:工人9例,农民28例,营业员5例,教师2例,自由职业4例。46例均为单侧性病变,左侧26例,右侧20例,自诉为进行性鼻塞,反复性鼻涕带血及少量出血,呈暗红色,其中5例病程中鼻腔大出血,约400ml,伴有严重贫血,经常流脓涕,有腥臭味,头痛,头昏,记忆力不集中,病侧牙齿偶尔疼痛,有时夜间出汗。鼻科检查:患者鼻腔内均有息肉样肿块,呈紫黑色,表面有脓性分泌物,触之易出血,5例伴后鼻孔肿块,阻塞整个后鼻道,影响 Upper abdomen sinus bleeding necrotic polyps, is a special type of maxillary sinus inflammation, clinically not uncommon. Its clinical manifestations and characteristics similar to malignant tumors, also known as pseudo-malignant tumors, easily misdiagnosed. Now our department from 1980 to 1995 by surgery and pathology confirmed 46 cases are reported as follows. 1. Clinical data 46 males and 25 females, 21 females, male to female ratio of 1.2: 1, age: 20 to 30 years in 4 cases, 31 to 40 years in 28 cases, 41 to 50 years in 8 cases, 51 years of age in 6 cases , Duration of 1 to 2 years in 13 cases, 3 to 4 years in 26 cases, 5 to 6 years in 7 cases, occupational distribution: 9 workers, 28 farmers, salesperson in 5 cases, 2 teachers, 4 free-lance. 46 cases were unilateral lesions, the left 26 cases, the right 20 cases, private prosecution for the progressive nasal obstruction, repeated bloody nasal discharge and a small amount of bleeding, dark red, of which 5 cases of nasal bleeding in the course of about 400ml, with Severe anemia, often purulent tears, stench, headache, dizziness, memory loss, occasional pain in the affected side of the teeth, sometimes sweating at night. Nasal examination: patients have polyps in the nasal mass-like mass, was purple, the surface purulent discharge, easy to touch the bleeding, 5 cases with nostril mass, obstruction of the entire posterior nasal passages, the impact