Objective: To analyze the clinical features of respiratory epithelial adenomatoid hamartoma (REAH) in the nasal cavity. Methods: Clinical datas of 23 patients, who were hospitalized in Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Hospital of Qingdao University, from February 2016 to February 2018 with histopathologically proved REAH in the nasal cavity were reviewed. There were 18 males and 5 females, with the age range from 16 to 71 years old. The most common area, main symptoms, surgical methods and follow-up results were analyzed. Results: The most common area was olfactory cleft (21 cases), and the mainly symptom was nasal congestion (18 cases). All the patients received transnasal endoscopic surgery and had no recurrence during following-up from three months to one year. Conclusions: The most common area of REAH in the nasal cavity is the olfactory cleft. Histopathological result is needed to make a definite diagnosis. Complete surgical resection is the main treatment.
目的: 分析鼻腔呼吸道上皮腺瘤样错构瘤的临床特点。 方法: 回顾性分析2016年2月至2018年2月收住青岛大学附属医院耳鼻咽喉头颈外科的23例经病理学诊断证实的鼻腔呼吸道上皮腺瘤样错构瘤患者的临床资料,男18例,女5例,年龄16~71岁。分析其好发部位、主要症状、手术方法、随访结果等特征。 结果: 23例患者的好发部位主要为嗅裂区(21例),症状以鼻塞为主(18例)。所有患者均行鼻内镜下病变切除术,术后随访3个月至1年,未见复发。 结论: 鼻腔呼吸道上皮腺瘤样错构瘤的好发部位为嗅裂区,确诊主要依靠病理学诊断,手术彻底切除病变是主要治疗手段。.
Keywords: Diagnosis; Hamartoma; Nasal cavity.