Лучевая диагностика опухолеподобных образований околоносовых пазух
- № 2 2021
Страницы:
151
–
156
Язык: русский
Аннотация
При синоназальных заболеваниях преобладают воспалительные поражения, доброкачественные и злокачественные опухоли встречаются редко. Доброкачественные опухоли характеризуются гистологическим разнообразием. Боли в лице, гнойные
выделения из носа, эпстаксис, заложенность. Ретроспективно были анализированы истории болезни и результаты исследования 31 больных, которые были
госпитализированы в ЛОР отделение 3-клиники ТМА за период 2018-2020г., и были прооперированы по поводу доброкачественной опухоли околоносовых пазух. Средний возраст больных составил 38 лет (от 2 месяцев до 73 лет), а соотношение полов
— 2,4 (22 мужчины и 9 женщин). Всем пациентам перед операцией было проведено эндоскопическое и рентгенологическое исследования придаточных пазух носа с последующим компьютерно томографическим (КТ) исследованием придаточных пазух
носа с трехмерной реконструкцией. Таким образом,доброкачественные опухоли околоносовых пазух характеризуются своим гистологическим разнообразием. Клиническая картина является переменной и неспецифической. Диагностика была улучшена современными методами визуализации и окончательно подтверждена после гистологических исследований.Фактически, эндоскопическая хирургия пазух носа
стала процедурой выбора для лечения.
In synonasal diseases, infl ammatory lesions predominate, benign and malignant tumors are rare.Benign tumors are characterized by histological diversity. Pain in the face, purulent nasal discharge,epstaxis, congestion. The case histories and the results of the study of 31 patients who were admitted to the department of the 3-clinic TMA for the period 2018-2020 and were operated on for benign tumor of the paranasal sinuses were retrospectively analyzed. The average age of the patients was 38 years (from 2 months to 73 years), and the sex ratio was 2.4 (22 men and 9 women). All patients underwent endoscopic and X-ray examination of the paranasal sinuses before the operation, followed by computed tomography (CT) examination of the paranasal sinuses with threedimensional reconstruction. Thus, benign tumors of the paranasal sinuses are characterized by their histological diversity. The clinical picture is variable and non-specifi c. The diagnosis has been improved by modern imaging techniques and fi nally confi rmed after histological examination. In fact, endoscopic sinus surgery has become the treatment of choice.
In synonasal diseases, infl ammatory lesions predominate, benign and malignant tumors are rare.Benign tumors are characterized by histological diversity. Pain in the face, purulent nasal discharge,epstaxis, congestion. The case histories and the results of the study of 31 patients who were admitted to the department of the 3-clinic TMA for the period 2018-2020 and were operated on for benign tumor of the paranasal sinuses were retrospectively analyzed. The average age of the patients was 38 years (from 2 months to 73 years), and the sex ratio was 2.4 (22 men and 9 women). All patients underwent endoscopic and X-ray examination of the paranasal sinuses before the operation, followed by computed tomography (CT) examination of the paranasal sinuses with threedimensional reconstruction. Thus, benign tumors of the paranasal sinuses are characterized by their histological diversity. The clinical picture is variable and non-specifi c. The diagnosis has been improved by modern imaging techniques and fi nally confi rmed after histological examination. In fact, endoscopic sinus surgery has become the treatment of choice.