茎突综合症25例临床分析  

Clinical analysis of 25 cases with elongated styloid process syndrome

作　　者：刘解华 陈朝阳 

机构地区：[1]永州市第一人民医院耳鼻咽喉科,湖南永州425000

出　　处：《中国耳鼻咽喉颅底外科杂志》2006年第1期49-51,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的 总结分析茎突综合症的临床特点、治疗及疗效。方法 回顾分析1986年1月～2004年12月我院收治的25例茎突综合症病人的临床资料、治疗及疗效。结果 本组病例中单侧发病者10例，双侧者15例；咽痛前来就诊者16例，单纯咽异物感者6例，耳痛、头痛及颈部痛者各1例。所有病人均行口内径路茎突截短术。术后随访6个月以上，其中症状消失者18例（72％），症状减轻者3例（12％），症状无改善者4例（16％）。结论 完整的病史、临床检查及影像学检查有助于茎突综合症的诊断。口内径路行茎突截短术是治疗该病的有效方法。Objective To summarize the clinical features, treatment and curative effect of elongated styloid process syndrome. Methods Clinical data of 25 patients with elongated styloid process syndrome treated in our hospital from Jan. 1986 to Dec. 2004 were analyzed retrospectively. Results Of all patients, 10 were unilateral elongations and 15 were bilateral; 16 patients had throat sore, 6 patients only had foreign body sensation of throat, 1 patient had otalgia, 1 patient had headache, and 1 patient had cervical pain. All the patients received surgical shortening of the elongated styloid processes through intraoral transtonsillar approach. After 6 months follow-up, 18 patients obtained complete symptomatic relief （72%）, 3 patients obtained partial relief （12%）, 4 patients did not obtain any relief （16%）. Conclusion A complete medical history, clinical and radiographic examinations are essential for the diagnosis of elongated styloid process syndrome. Surgical shortening of the elongated styloid processes through intraoral transtonsillar approach is an effective way to cure this disease.

关 键 词：茎突综合症 茎突截短术 

分 类 号：R73[医药卫生—肿瘤] R766.3[医药卫生—临床医学]