经鼻窦内窥镜手术治疗孤立性蝶窦病变19例分析  

Effect of endoscopic sinus surgery in the treatment of 19 cases of isolated sphenoid sinus disease

作　　者：赵之栋 

机构地区：[1]遂宁市中心医院耳鼻咽喉-头颈外科,四川遂宁629000

出　　处：《海南医学》2014年第6期886-887,共2页Hainan Medical Journal

摘　　要：目的探讨孤立性蝶窦病变的临床特点及其经鼻窦内窥镜手术的治疗效果。方法回顾性分析19例孤立性蝶窦病变的临床表现、影像学特点、鼻内镜手术方法及疗效。结果 19例患者最主要的临床表现为头痛、鼻涕倒流,主要影像学特征为蝶窦内软组织影,真菌感染中央常可见高密度钙化斑。全部患者鼻内镜下行蝶窦开放术,定期换药,随访2年,全部治愈。结论孤立性蝶窦病变临床表现无特异性,CT扫描及鼻内镜检查有利于早期诊断,采用鼻内镜下蝶窦开放术具有创伤小、并发症少和术后恢复快等优点。Objective To investigate the clinical characteristics of isolated sphenoid sinus disease and the curative effect of endoscopic sinus surgery. Methods A retrospective analysis of 19 cases of isolated sphenoid sinus disease was carded out to investigate the clinical manifestations, imaging features, surgery methods and clinical efficacy of endoscopic surgery. Results The most important clinical manifestations were headache, postnasal drip. The main features of the sphenoid sinus imaging were soft tissue. High-density central calcification was often observed for fungal infection. All patients were successfully operated by endoscopic sphenoidotomy and then followed up for 2 years, which were all cured successfully. Conclusion Isolated sphenoid sinus disease has no specific clinical manifestations. CT scan and nasal endoscopy could contribute to the early diagnosis. Endoscopic sinus surgery has characteristics of less trauma, fewer complications and faster postoperative recovery.

关 键 词：孤立性蝶窦病变 内窥镜检查 外科手术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]