茎突综合征114例误诊原因分析  

Reasons for misdiagnosis of styloid process syndrome in 114 cases

作　　者：孙秀梅[1] 张庆泉[2] 都基亮[1] 

机构地区：[1]滨州医学院烟台附属医院耳鼻喉科,山东烟台264000 [2]烟台毓璜顶医院耳鼻咽喉头颈外科,山东烟台264000

出　　处：《山东大学耳鼻喉眼学报》2014年第6期4-6,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的：探讨茎突综合征误诊误治原因，以提高其诊治水平。方法回顾分析114例茎突综合征的病程、误诊疾病及手术治疗效果。结果114例患者首诊均被诊断为其他疾病。诊断为慢性咽炎、慢性扁桃体炎、舌咽神经痛77例，占总数比例为67．5％，该组病例病程相对较短，为1～6个月，中位病程为2．5个月，茎突部分截短手术有效率高，为87．0％。诊断为焦虑症、更年期综合征、神经官能症14例，该组病例病程相对较长，中位病程分别为7、2、8年，手术治疗有效率较低，为50．0％。结论茎突综合征临床症状具有多样性、与其他疾病交叉的特点，了解掌握此病特点有助于确诊，严格掌握手术指征有助于提高手术治疗效果。Objective To explore the reasons for misdiagnosis of styloid process syndrome and to get proper diagnosis and treatment.Methods The clinical data of 114 cases of styloid process syndrome were retrospectively analyzed from the course of the disease,misdiagnosed diseases and surgical treatment effect.Results 114 cases were diagnosed as other diseases .There were 77 cases diagnosed as chronic pharyngitis ,chronic tonsillitis and glossopharyngeal nerve pain,67.5% of 114 cases;The duration of this group was relatively short ,from 1 to 6 months,the median duration was 2.5 month;After partial removal of styloid process,87.0% of them were cured.There were 14 cases diagnosed as anxiety disorders,menopause syndrome and neurosis;The duration of this group was relatively long with the median duration of 7,2,and 8 years,and 50% of them were cured.Conclusion Styloid process syndrome has the characteris-tics of diversity and easily to be crossed with other diseases.Grasping the characteristics helps to get definite diagnosis. Strict control of 1 the indications of partial removal of styloid process helps to improve the effect of surgical treatment.

关 键 词：茎突综合征 误诊 原因 

分 类 号：R766[医药卫生—耳鼻咽喉科]