经鼻内镜治疗孤立性蝶窦良性病变20例分析  

Diagnosis and Treatment of Isolated Benign Sphenoid Sinus Diseases under Nasoendoscopy

作　　者：孟纲要 

机构地区：[1]淮北矿工总医院耳鼻咽喉科,安徽235000

出　　处：《安徽卫生职业技术学院学报》2010年第2期41-42,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:进一步认识孤立性蝶窦良性占位性病变,提高对其诊断和治疗水平。方法:对我科2004～2008年1月收住的20例经鼻内镜治疗的良性孤立性蝶窦病变病人资料进行回顾性分析。结果:20例中孤立性蝶窦炎10例,蝶窦囊肿4例,息肉3例,蝶窦真菌病3例。头痛17例,有不同程度的视力下降或视物不清,眼球运动障碍和复视9例,表现为嗅觉减退,鼻塞回吸性血涕等鼻部症状3例,术后临床症状不断改善甚至消失。随访18个月～5年无复发。结论:由于该病早期无独特症状,CT检查对诊断有较大价值,且对手术具有一定指导意义。鼻内窥镜术对治疗蝶窦良性占位性病变有显著的优越性。Objective：To improve the diagnosis and treatment of isolated sphenoid benign diseases.Methods： The clinical data of 20 cases suffering from isolated sphenoid benign disease from Jan,2004 to Jan,2008 were analyzed retrospectively.All of patients underwent endoscopic sphenoid surgery. Results： Among these cases, 10 were with sphenoiditis,4 cyst,3 polyps and 3 fungus sphenoiditis.All these cases manifested themselves mainly as headache,sneezing with blood and ocular symptoms, 1ike blepharoptosis, diplopia and visual field defect.The symptoms of all patients were improved or disappeared after operations.Conclusion： Isolated sphenoid benign disease could be easily misdiagnosed.CT was one of the most valuable examination for this disease.Endoscopic sinus surgery was the first choice of treatment for isolated sphenoid benign disease.

关 键 词：孤立性蝶窦疾病 鼻内镜 治疗 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]