蝶窦炎并眼-神经科综合征5例的临床分析  

Treatment of the sphenoid sinusitis with neuro-ophthalmologic syndromes

作　　者：杜小平[1] 蔡青[1] 马哲兰[1] 陶泽璋[1] 吴展元[1] 

机构地区：[1]武汉大学人民医院耳鼻咽喉头颈外科,武汉430060

出　　处：《临床耳鼻咽喉科杂志》2002年第2期78-79,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨蝶窦炎所致眼 神经科综合征的临床特征和治疗方法。方法 :回顾性分析 5例蝶窦炎并眼 神经科综合征病例的临床资料 ,CT扫描是主要诊断依据 ;手术治疗 3例 ,保守治疗 2例。结果 :蝶窦开放术或保守治疗均缓解了头痛症状 ,但视力障碍和其它眼 神经科体征无改善。结论 :CT扫描有利于早期诊断和排除球后占位性病变 ;对于有并发症的蝶窦炎宜尽早手术 。Objective:To analyze the diagnosis and the treatment of neuro ophthalmologic syndromes caused by sphenoid sinusitis.Method:5 cases with neuro ophthalmologic syndromes caused by acute or chronic sphenoid sinusitis were reuiewed, 3 of them were performed a sphenoidostomy and other two were treated by injecting antibiotics and steroid.Result:The surgery and antibiotics can relieve the headache. However, recovery of the neuro-ophthalmologic syndromes was inconstant.Conclusion:CT scan can provide an early diagnosis and differential diagnosis. The delayed surgery may be response for the unsatisfied treatment results.

关 键 词：蝶窦炎 眼-神经科综合征 CT检查 临床特征 手术治疗 视神经管减压术 

分 类 号：R765.43[医药卫生—耳鼻咽喉科]