鼻腔呼吸道上皮腺瘤样错构瘤14例报告

发布时间：2018-06-05 21:25

本文选题：鼻肿瘤 + 嗅裂区　；参考：《临床耳鼻咽喉头颈外科杂志》2014年23期

【摘要】：目的:探讨鼻腔呼吸道上皮腺瘤样错构瘤的临床特点和诊治方法。方法:对14例鼻腔呼吸道上皮腺瘤样错构瘤患者临床资料进行回顾性分析和总结。所有患者均于全身麻醉下鼻内镜下行鼻腔肿物切除术、鼻窦开放术。结果:14例患者中,所有患者均为双侧病变,于嗅裂区可见广基弥漫性生长的息肉样新生物,呈粉红色或粉白色,大部分肿物质韧,触之不易出血,10例患者中鼻道及总鼻道同时可见鼻息肉;鼻窦CT检查均提示双侧鼻腔(嗅裂区)可见软组织密度影,伴不同鼻窦内黏膜增厚,密度增高,均无骨质破坏。对患者术后定期随访,均恢复良好,未见复发。结论:鼻腔呼吸道上皮腺瘤样错构瘤虽罕见,但其症状、体征及影像学检查无诊断性的特异表现,容易误诊和漏诊,只有增加对该病的认识和了解,才能提高诊断率。
[Abstract]:Objective: to investigate the clinical features, diagnosis and treatment of adenomatoid hamartoma of nasal airway epithelium. Methods: the clinical data of 14 patients with adenomatoid hamartoma of nasal airway epithelium were retrospectively analyzed and summarized. All patients underwent endoscopic nasal mass resection and sinus surgery under general anesthesia. Results among 14 patients, all of them had bilateral lesions, with diffuse polypoid neoplasm in the region of olfactory fissure, pink or pink, and most of the swelling substance was tough. Nasal polyps could be seen simultaneously in the middle nasal canal and the total nasal canal in 10 patients with the difficult bleeding. Ct examination of nasal sinuses showed that soft tissue density was seen in the bilateral nasal cavity (olfactory fissure region) with thickening and density of mucosa in different sinuses and no bone destruction. The patients were followed up regularly and recovered well without recurrence. Conclusion: although adenomatoid hamartoma of nasal respiratory tract is rare, its symptoms, signs and imaging examination have no specific manifestations of diagnosis, so it is easy to misdiagnose and miss diagnosis. Only by increasing the knowledge and understanding of the disease can the diagnosis rate be improved.
【作者单位】：解放军第463医院耳鼻咽喉科(全军耳鼻喉研究中心);解放军第463医院病理科;
【基金】：辽宁省科学技术计划项目(No:2014225049) 全军十二五课题面上项目(No:CWS12J006)
【分类号】：R739.62

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