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目的:总结鼻腔鼻窦出血性息肉的临床表现和影像学特征,以减少误诊和避免术式扩大化。方法:23例经病理确诊、资料完整的鼻腔鼻窦出血性息肉患者均行手术切除。1例疑鼻窦恶性肿瘤行鼻侧切开,2例经前鼻孔切除,余20例行上颌窦根治术。结果:术后全部确诊为鼻腔鼻窦出血性息肉。随访8个月～10年,无复发。结论:本病术前诊断靠综合判断,上颌窦穿刺及鼻窦CT对诊断有一定价值,最后确诊依赖术中肉眼观察及术后病理检查。手术是惟一有效的治疗方法,上颌窦根治术是本病较适宜的术式。
Objective: To summarize the clinical manifestations and imaging features of nasal polyps to reduce misdiagnosis and avoid surgical enlargement. Methods: Twenty - three patients with pathologically confirmed and complete nasal polyposis were undergone surgical resection. One case of suspected malignant nasal sinuses nasal line incision, 2 cases of pre-nostril resection, more than 20 cases of maxillary sinus radical mastectomy. Results: All postoperative nasal sinus hemorrhagic polyps diagnosed. Follow-up of 8 months to 10 years, no recurrence. Conclusion: The preoperative diagnosis by comprehensive judgment, maxillary sinus puncture and sinus CT have some value in the diagnosis, the final diagnosis depends on intraoperative visual and postoperative pathological examination. Surgery is the only effective treatment, maxillary sinus radical surgery is the more appropriate surgical technique.