【摘要】 目的提高对鼻窦鼻咽部软骨瘤的病因、临床表现、诊断及治疗的认识。方法综合文献复习,分析我院收治2例鼻窦鼻咽部软骨瘤患者的临床资料,1例行柯陆氏进路上颌窦根治术;1例行鼻侧切开肿瘤切除术。结果1例肿瘤位于均筛窦,破坏上颌窦内侧骨壁突向上颌窦腔及鼻腔;1例其基底位于以圆枕为中心的鼻咽侧壁,病理结果均诊断为软骨瘤,手术切除全部治愈,追踪分别10年和13年无复发。结论鼻窦鼻咽部软骨瘤病因不明,多数学者认为可能是来源于异位的软骨胚芽及头颅软骨遗基的残余,如果只靠症状及鼻腔检查、X线摄片、CT及MRI扫描一般不能诊断本病,病理是诊断软骨瘤的金指标,治疗则以手术为主。更多还原

【Abstract】 Objective To recognise the predisposing factors, clinical manifestations, diagnosis and treatment of sinonsal and nasopharyngeal chondroma. Metheds The clinical data of two cases of sinonsal and nasopharyngeal chondroma were reported and the literafures were also reviewed.One of them was treated with lateral rhinotomy,the other with Caldwell- luc technique. Results The two cases were all cured without lesion reoccurring by the end of following-up period within 10 and 13 years. Conclusion The cause of sinonasal and nasopharyngeal chondroma is unknown. The clinical manifestations of sinonasal and nasopharyngeal chondroma were complex.The disease can’t be diagnosed by symptoms inquiring, nasal respiratory, X-ray, CT and MRI. Pathology is the key to its diagnosis; Surgical operation is an effective method for its treatment.更多还原