健脾扶正法治疗术后复发性鼻窦内翻性乳头状瘤1例
A Case Report of Traditional Chinese Medicine Decoction in the Treatment of Recurrent Nasal Inverted Papilloma after Peration
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1.上海中医药大学附属上海市中西医结合医院,上海 200082
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赵梦迪, 薛明. 健脾扶正法治疗术后复发性鼻窦内翻性乳头状瘤1例[DB/OL].(2023-03-17)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601744&Fpath=home&index=0
ZHAO mengdi, XUE ming. A Case Report of Traditional Chinese Medicine Decoction in the Treatment of Recurrent Nasal Inverted Papilloma after Peration[DB/OL].(2023-03-17)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601744&Fpath=home&index=0
赵梦迪, 薛明. 健脾扶正法治疗术后复发性鼻窦内翻性乳头状瘤1例[DB/OL].(2023-03-17)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601744&Fpath=home&index=0 DOI:
ZHAO mengdi, XUE ming. A Case Report of Traditional Chinese Medicine Decoction in the Treatment of Recurrent Nasal Inverted Papilloma after Peration[DB/OL].(2023-03-17)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601744&Fpath=home&index=0 DOI:
患者曹某,男,57岁,初诊日期2020年1月4日。主诉鼻内翻性乳头状瘤反复发作5年,术后2周。患者5年前因持续性鼻塞伴左侧额面部疼痛至某院就诊,经检查诊断为慢性鼻窦炎,遂行手术治疗,术后病理为内翻性乳头状瘤。术后5年内因复发而先后进行2次手术。2019年12月患者因复发而来本科寻求中西医结合治疗。给于收治入院行内镜下鼻窦手术,术后门诊随诊,给于中医汤剂治疗,防止复发。发病以来患者自觉有鼻塞,时有涕中带血,精神欠佳,乏力,声低,易汗出,纳呆食少,多食腹胀,便溏,夜寐安,小便调。舌淡,苔白,体胖边齿痕,脉弱。中医诊断 鼻瘤(肺脾气虚,痰浊结聚证)。中医治则 健脾利湿,扶正祛邪。西医诊断:鼻内翻性乳头状瘤术后。中药处方:自拟中药汤剂治疗。疗效转归 患者术后使用中药治疗半年,每半年复诊1次,目前已随访2年半余,未见复发。
Patient Cao, male, 57 years old, was initially diagnosed on January 4, 2020. His self-reported sympotm was that recurrent nasal inverted papilloma for 5 years, 2 weeks after surgery . The patient went to the hospital 5 years ago for persistent nasal congestion and left frontal facial pain, and was diagnosed with chronic sinusitis, so he underwent surgery, and the postoperative pathology was inversion papilloma. In December 2019, the patient came to our hospital for combined Chinese and Western medicine treatment due to recurrence. He was admitted to the hospital for endoscopic sinus surgery, followed up in the postoperative clinic, and given Chinese medicine tonics to prevent recurrence. Since the onset of the disease, the patient felt nasal congestion, sometimes blood in the snot, poor mental health, weakness, low voice, easy to sweat, dull food, abdominal distension, loose stools, sleep at night, urine can be. The tongue is pale, the coating is white, the body is fat with teeth marks, and ,t,he pulse is weak.,Traditional Chinese medicine diagnosis, rhinoma (deficiency of lung and spleen qi, phlegm and turbidity accumulation).,TCM treatment, strengthening the spleen and relieving dampness, helping to dispel evil. Western diagnosis: postoperative nasal inverted papilloma. Chinese medicine prescription: self-prepared herbal soup treatment.,Clinical outcomes, The patient was treated with Chinese herbal medicine for half a year after surgery, with a follow-up visit every six months, and has now been followed up for more than 2 years and a half without recurrence.
鼻内翻性乳头状瘤【适合阅读专业】中西医结合耳鼻咽喉科
frecurrent nasal inverted papilloma【Suitable majors】 integrated traditional Chinese and Western medicine otolaryngology department
Wang H, Li H, Hu L, et al. Overexpression of FoxM1 in Sinonasal Inverted Papilloma and Associated Squamous Cell Carcinoma[J].Am J Rhinol Allergy,2019,33(6):706-715.
王成硕,张罗.鼻腔鼻窦内翻性乳头状瘤的临床分期[J].中华耳鼻咽喉头颈外科杂志,2020,55(2):187-188+190.
Numano Y, Nomura K, Sugawara M, et al. Sinonasal Inverted Papilloma Showing a Misleading Finding on Magnetic Resonance Imaging.[J].Ear Nose Throat J,2022:1455613221095614-1455613221095614.
刘蓬主编;谢强,丛品,王汉明等副主编. 中医耳鼻咽喉科学 供中医学、针灸推拿学等专业用 新世纪第4版[M]. 北京:中国中医药出版社, 2016.
黄选兆,汪吉宝,孔维佳主编. 实用耳鼻咽喉头颈外科学[M]. 北京:人民卫生出版社, 2008.
常笑,连荣,曹宸,等.经鼻内镜对鼻腔鼻窦内翻性乳头状瘤深层次处理的疗效分析[J].实用临床医药杂志,2021,25(8):30-33+38.
Lawson W, Patel ZM. The evolution of management for inverted papilloma: an analysis of 200 cases[J]. Otolaryngol Head Neck Surg. 2009;140(3):330-335.
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