鼻石诊断与治疗（附8例报告）.pdfVIP

3l6 ChinJOtorhinolaryngolIntegMed2009，Vol17，No6 doi：10．3969／j．issn．1007—4856．2009．06．006 鼻石诊断与治疗 (附8例报告) 刘斌 江育玲 任基浩 刘柏生 彭建辉 摘【要】目的 目的 探讨鼻石的常规诊断与治疗程序。方法 回顾性分析8例鼻石患者的临床资料，总结其诊疗经验与 教训。结果 本病患者的主要症状为鼻塞和流脓涕；高分辨CT扫描 (HRCT)于6个病灶中心见低密度核心区域 ，周围为均匀 的高密度无机盐影，是为本病较特征性影像学改变，并可发现并发的鼻窦炎症和中隔偏曲或穿孔。本组所有患者均行鼻内镜 手术治疗。结论 HRCT有助于鼻石的诊断和鉴别诊断，本病的适宜疗法为鼻内镜下手术治疗。 【关键词】异物；鼻腔；结石 Diagnosisandmanagementofrhinolith(withareportof8cases) LIUBin,JIAN6Yuling,RENJihao,LIUBaisheng．PENGJianhui Dept．of OtoJaryngology-Heact＆Neck Surgery, the FirSt][ospital of Chenzhou, Hunan, 423000,China [Abstract]ObjectiveTosumupclinicalexperiencenitheroutineproceduresforthediagnosisandmanagementofrhinolithbased onaclniicaltria1．MethodsAretrospectivestudywascarriedoutamong8caseswihtrhinolithrteatedinour Hospitaltosum uphteclinical experienceinthediangosisnadmanagementofsuchalesion．wiht associatedliteraturesreviewedathtesametime．Results Itcouldbe summeduDthathtecriticalcliNcalcomplainsofcaseswiht htelesionofrhinoliht includedpurulentdischargeandnasalobstruction．On htefilmsofhighresolutionCT(HRCT)scaning，sixcasesshowedalowerdensitycoreareainhtecentralregionofhtefocusasaspecial feature，withhJg【herdensiytofperipheralareaaroundhtecoresuggestingdepositionofmineralsaltsinthisarea．Thisfeatureshouldbe htecharacterristicimagefindingonCTfilms．Moreover,demonstratedalSOcouldbehtecomplicationsfrom hte1esion．suchasmaxillary sinusitisanddeviationorperforationofnasalseptum ．Allhtesepatientsinhtisgroupsutdiedherewererteatedbynasalendoscopicsurge~ (NES)．ConclusionsEvaluationontheimagefeaturesonHRCTfilmscanaidthediangosisanddifferentialdiagnosisofrhniolithandNES shouldbetheoptimaltherapyofrtherteatmentofsuchalesion． [Keywords]Foreing bodies；Nasalcavity；Calculi 鼻石(rhinolith)又称鼻结石(nasalcalculi)或 25-65岁，平均40．5岁；病程1-10年不等；其中左侧2 鼻石病(rhinolithiasis)，为一种罕见疾病 “。自1654 例，右{N