1病例报告患者,女,37岁,以“反复右侧鼻出血1年”为主诉来诊。患者1年前无明显诱因出现反复右侧鼻出血,呈间断性,自行填塞鼻腔后可止血;半年前出现黄脓涕,涕中带血,偶有鼻塞,门诊以“右鼻腔肿物”收入。体检:右侧鼻腔粉色肿物,表面光滑,血管丰富,触之易出血,考虑血管瘤,突至后鼻孔。鼻窦CT示:右侧鼻腔占位性病变,突入右侧上颌窦,右侧上颌窦炎,右侧上颌窦骨质吸收,鼻中隔似被侵及,轻度左偏(图1)。鼻内镜检查结果与体检相 A case report patients, female, 37 years old, with “repeated right epistaxis for 1 year ” as the chief complaint. Patient 1 year ago, no obvious incentive to appear repeatedly on the right side of the nose bleeding, intermittent, self-stuffy nasal cavity to stop bleeding; six months ago, yellow purulent nasal discharge, bloody nasal discharge, occasional nasal congestion, outpatient to “right nasal tumor ”income. Physical examination: Pink powder on the right nasal cavity, smooth surface, rich in blood vessels, easy to touch the bleeding, consider hemangioma, sudden nose. Sinus CT showed: right nasal space-occupying lesions, into the right maxillary sinus, right maxillary sinusitis, right maxillary sinus bone absorption, resection of the nasal septum may be invading, mild left deviation (Figure 1). Endoscopic findings and physical examination