鼻腔鼻窦结石临床诊治体会

doi:10.6040/j.issn.1673-3770.0.2019.376

山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (4): 92-96.doi: 10.6040/j.issn.1673-3770.0.2019.376

鼻腔鼻窦结石临床诊治体会

翟性友¹,侯俊胜²,李新建¹,王新¹,解营利¹,王文佳¹

翟性友¹, 侯俊胜², 李新建¹, 王新¹, 解营利¹, 王文佳¹1. 解放军总医院海南医院耳鼻咽喉头颈外科/海南省耳鼻咽喉头颈外科疾病临床医学研究中心, 海南三亚 572013;
2. 河南大学第一附属医院耳鼻咽喉头颈外科, 河南开封 475001

收稿日期:2019-07-29 出版日期:2020-07-20 发布日期:2019-10-15

Clinical experience in diagnosis and treatment of stone in nasal cavity and sinusZHAI Xingyou¹, HOU Junsheng², LI Xinjian¹, WANG Xin¹, XIE Yingli¹, WANG Wenjia¹ 1. Department of Otorhinolaryngology Head and Neck Surgery, Hainan Hospital, General Hospital of PLA, Hainan Province Otorhinolaryngology Head and Neck Surgery Clinical Medical Research Center, Sanya 572013, Hainan, China; 2. Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Henan University, Kaifeng 475001, Henan, ChinaAbstract:Objective

Key words: Nasal endoscopic examination;
Rhinolithiasis;
Diagnosis and treatment;
Clinical experience 鼻腔鼻窦结石(calculus of nasal cavity and sinuses)又称鼻石(rhinolith)或鼻石病(rhinolithiasis), 是临床相对较为少见的一种疾病^［1］, 分为鼻腔结石和鼻窦结石, 尤其是鼻窦结石, 因其发生率很低, 在临床诊断上存在一定的困难。随着影像学和鼻内镜的发展, 该病逐渐被充分认识。笔者于2012年4月至2017年11月参与诊治鼻腔鼻窦结石6例, 现从病因病理、临床诊断、鉴别诊断和治疗预防方面阐述如下。

Received:2019-07-29 Online:2020-07-20 Published:2019-10-15

摘要/Abstract

摘要： 目的探讨鼻腔鼻窦结石病的形成机制、临床诊断、治疗和预防的方法,减少临床误诊率。方法对2012年4月至2017年11月就诊的6例鼻腔鼻窦结石患者进行特征性综合分析,总结该病的病因病理、临床诊断、鉴别诊断和治疗预防及并发症处理。结果 5例患者均在全身麻醉鼻内镜下鼻腔鼻窦结石取出及相关鼻窦开放术,1例经过鼻腔冲洗和消炎治疗后治愈。术后所有患者随访半年以上,术区黏膜均上皮化,恢复良好,症状消失,无并发症发生。结论鼻内镜结合临床表现和CT,有利于该病的临床诊断,也是鼻腔鼻窦结石病的最有效治疗方法。

关键词: 鼻内镜检查, 鼻石病, 诊治, 临床体会

Abstract: Objective To explore the genesis, clinical diagnosis, treatment, and prevention mechanisms of the formation of stones within the nasal cavity and sinus as well as measures toreduce the rate of clinical misdiagnosis. Methods A comprehensive analysis was conducted on six patients with nasal and sinus calculi who visited the hospital between April 2012 and November 2017. The etiology, pathology, clinical diagnosis, differential diagnosis, treatment, prevention, and complication management of the disease were summarized for each patient. Result Five patients underwent surgery for the removal of stones from the nasal cavity and sinus under general anesthesia. Nasal endoscopy was also performed for the assessment of the related sinus passages. One patient recovered upon nasal irrigation and anti-inflammation treatment. All the patients were followed up for six months and the mucosal layer within the operation area that was epithelialized, recovered well. The symptoms disappeared without any additional complications. Conclusion Nasal endoscopy in combination with the assessment of clinical manifestation and imaging are conducive to the diagnosis of the disease. Together, these could develop into an effective treatment regimen for nasal cavity and sinusoidal lithiasis.

Key words: Nasal endoscopic examination, Rhinolithiasis, Diagnosis and treatment, Clinical experience

中图分类号:

R765.2

翟性友,侯俊胜,李新建,王新,解营利,王文佳. 鼻腔鼻窦结石临床诊治体会[J]. 山东大学耳鼻喉眼学报, 2020, 34(4): 92-96.

To explore the genesis, clinical diagnosis, treatment, and prevention mechanisms of the formation of stones within the nasal cavity and sinus as well as measures toreduce the rate of clinical misdiagnosis. MethodsA comprehensive analysis was conducted on six patients with nasal and sinus calculi who visited the hospital between April 2012 and November 2017. The etiology, pathology, clinical diagnosis, differential diagnosis, treatment, prevention, and complication management of the disease were summarized for each patient. ResultFive patients underwent surgery for the removal of stones from the nasal cavity and sinus under general anesthesia. Nasal endoscopy was also performed for the assessment of the related sinus passages. One patient recovered upon nasal irrigation and anti-inflammation treatment. All the patients were followed up for six months and the mucosal layer within the operation area that was epithelialized, recovered well. The symptoms disappeared without any additional complications. ConclusionNasal endoscopy in combination with the assessment of clinical manifestation and imaging are conducive to the diagnosis of the disease. Together, these could develop into an effective treatment regimen for nasal cavity and sinusoidal lithiasis.. Clinical experience in diagnosis and treatment of stone in nasal cavity and sinusZHAI Xingyou¹, HOU Junsheng², LI Xinjian¹, WANG Xin¹, XIE Yingli¹, WANG Wenjia¹ 1. Department of Otorhinolaryngology Head and Neck Surgery, Hainan Hospital, General Hospital of PLA, Hainan Province Otorhinolaryngology Head and Neck Surgery Clinical Medical Research Center, Sanya 572013, Hainan, China; 2. Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Henan University, Kaifeng 475001, Henan, ChinaAbstract:Objective[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 92-96.

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