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本文温习了1970年以来我科收治的鼻内翻乳头状瘤45例,结果显示有16例(占35.6%)临床上曾诊断为鼻息肉,后经病理证实为鼻内翻乳头状瘤,13例曾以鼻息肉行1~3次鼻息肉摘除术或行上颌窦根治鼻息肉摘除术,后经病理才确诊为鼻内翻乳头状瘤,其中1例有多次鼻息肉手术病史,最后1次息肉送病理检查,诊断为腺癌。研究结果表明:鼻息肉、鼻内翻乳头状瘤与癌三者关系密切,病变可能是一连续病理变化过程。提出对鼻息肉病人应行常规术前及术后病检,特别对反复发生的鼻息肉,病理检查更为重要。
This article reviewed in our department since 1970, 45 cases of endoscopically inverted papilloma, the results showed that 16 cases (35.6%) clinically diagnosed as nasal polyps, after the pathology confirmed as endoscopic papilloma , 13 cases of nasal polyps who had 1 to 3 times the nasal polyps removal or maxillary sinus radical nasal polyps removal, after pathology was diagnosed as endovascular papilloma, of which 1 case had multiple nasal polyps surgery history, The last polyp sent to pathology, diagnosis of adenocarcinoma. The results show that: nasal polyps, endoscopic papilloma and cancer are closely related to the three lesions may be a continuous pathological changes. Proposed for nasal polyps patients should be routine preoperative and postoperative pathological examination, especially for recurrent nasal polyps, pathological examination is more important.