儿童急性孤立性蝶窦炎临床分析  

作　　者：郭筠芳 

机构地区：[1]湖北省武汉市中山医院耳鼻咽喉头颈外科,430033

出　　处：《浙江临床医学》2012年第7期795-797,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨儿童急性孤立性蝶窦炎的临床表现、危险因素、诊断、并发症及治疗。方法回顾性分析儿童急性孤立性蝶窦炎的病例，所有的病例均行鼻内镜检查和／或CT平扫检查确诊，并与英文文献中的儿童急性孤立性蝶窦炎的病例相比较。重点阐述儿童急性孤立性蝶窦炎的临床表现、相关危险因素、诊断方法、并发症与治疗手段。结果根据临床表现患者可分为两组：严重性急性蝶窦炎组和非严重性急性蝶窦炎组。严重性急性蝶窦炎组以发热、头痛及高发生率的神经系统症状为特征，游泳及潜水为其可能的危险因素。非严重性急性蝶窦炎组以头痛为主要临床表现，过敏性鼻炎为其危险因素。结论儿童急性孤立性蝶窦炎的诊断较为困难，相关的文献报道也较少。儿科及耳鼻喉科医生应高度重视其潜在的、严重的并发症。Objective To discuss our cases of acute isolated sphenoiditis in children and compare them with those reported in the international literature, and to explore the manifestation, associated risk factors, diagnosis, complications and treatment of acute isolated sphenoiditis in children. Methods We reviewed our 10-year records of acute isolated sphenoid sinusitis in children, as confirmed by nasal endoscopy and/or CT scan, and compared them with the cases of sphenoid sinusitis reported in literature. In particular, we focused on clinical findings, associated risk factors, diagnostic approach, complications and treatment. Results Patients were devided into two groups on the basis of clinical findings： the first including patients affected by severe acute sphenoiditis presenting fever and headache, and frequently associated with neurological symptoms, with swimming and diving as possible predisposing factors. The second group included patients with non-severe acute sphenoiditis, mainly associated with headache, allergic rhinitis being a possible predisposing factor. Conclusions Acute isolated sphenoid sinusitis appears to be difficult to diagnose, and there are few reports in peer-reviewed journals. We wish to alert paediatricians and ENT specialists of the importance of this rare but still potentially devastating disorder

关 键 词：蝶窦炎 儿童 鼻内镜 

分 类 号：R765.44[医药卫生—耳鼻咽喉科]