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目的探讨鼻腔鼻窦血管瘤的诊断与治疗方法。方法 26例鼻腔鼻窦血管瘤患者,术前行鼻腔鼻窦CT、MRI、颈总动脉造影等检查,根据肿瘤直径及对周围组织、器官的压迫和破坏情况,分别行平阳霉素瘤体内注射、鼻内镜手术切除或鼻侧切开手术。结果 26例中行平阳霉素瘤体内注射16例,鼻内镜手术8例,鼻侧切开手术2例,均痊愈;术后随访1~3a,无复发,患者鼻塞、鼻出血等症状均消失。结论鼻腔鼻窦CT、MRI等检查有助于鼻腔鼻窦血管瘤的诊断,平阳霉素瘤体内注射、鼻内镜手术切除及鼻侧切开手术治疗效果确切。
Objective To investigate the diagnosis and treatment of nasal sinuses. Methods Twenty - six patients with nasal sinuses and hemangiomas underwent nasal sinus CT, MRI and carotid artery angiography. According to the diameter of the tumor and the compression and destruction of surrounding tissues and organs, Endoscopic resection or nasal surgery. Results 26 cases of Pingyangmycin tumor in vivo injection of 16 cases, 8 cases of nasal endoscopic surgery, nasal open surgery in 2 cases, were cured; follow-up 1 ~ 3a, no recurrence, the patient had nasal congestion, epistaxis and other symptoms were disappeared . Conclusion Nasal sinus CT, MRI and other tests are helpful for the diagnosis of nasal sinus and hemangiomas, in vivo injection of pingyangmycin, endoscopic resection and nasal open surgery.