茎突综合征临床误诊分析  

Research on misdiagnosis of styloid process syndrome

作　　者：董淑霞[1] 卫元峡[1] 金海江[1] 张德章[1] 

机构地区：[1]三门峡市中心医院耳鼻咽喉头颈外科,河南三门峡472000

出　　处：《中国耳鼻咽喉头颈外科》2013年第12期632-634,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的通过对56例茎突综合征的回顾性分析,研究该疾病的临床诊断及其误诊情况,为临床医师对该病的诊断和治疗提供参考。方法结合近年来相关文献,通过对56例茎突综合征患者的诊断及误诊资料作临床分析,对被误诊患者的临床表现、影像学检查作回顾性研究。结果 56例患者中误诊为慢性咽炎23例,咽易感症16例,干燥性咽炎3例,慢性扁桃体炎9例,颈椎病2例,舌咽神经痛2例,突发性聋1例。结论详询病史,仔细专科检查,包括咽部触诊、茎突正侧位X线片或CT扫描对该病的确诊至关重要。有助于早期诊治,并减少误诊、误治。OBJECTIVE To investigate the clinical diagnosis and misdiagnosis of styloid process syndrome by retrospective analysis of 56 patients with styloid process syndrome in order to provide references for diagnosis and treatment of such diseaes. METHODS Combining related literatures in recent years, 56 patients with styloid process syndrome were selected. The misdiagnosed patients were reviewed for its clinical manifestation and imaging feature. RESULTS Of 56 misdiagnosed patients, the misdiagnosis were as follows： 23 patients were misdiagnosed as Chronic pharyngitis, 16 patients were abnormal sensation of throat, 3 patients misdiagnosed as pharyngitis sicca, 9 patients misdiagnosed as chronic tonsillitis, 2 patients misdiagnosed as cervical osteoarthritis,2 patients misdiagnosed as glossopharyngeal neuralgia and 1 patient misdiagnosed as sudden deafness. CONCLUSION History enquiry, carefully specialized examination are crucial for early diagnosis and reducing the misdiagnosis.

关 键 词：扁桃体 体层摄影术 X线计算机 误诊 茎突过长 

分 类 号：R766[医药卫生—耳鼻咽喉科]