摘要
目的总结蝶窦孤立性良性病变的诊断及合理治疗。方法对20例蝶窦孤立性良性病变的临床资料进行回顾分析。结果20例中蝶窦囊肿10例,真菌性蝶窦炎5例,慢性蝶窦炎3例,颅咽管瘤1例,骨瘤1例。临床表现有头痛(85%)、视力改变(35%)、颅神经麻痹(25%)、回吸性涕血或鼻出血(30%)。所有病例术前行CT或磁共振检查,并经术后病理检查证实。结论蝶窦孤立性良性病变以蝶窦囊肿、真菌性蝶窦炎多见;CT或磁共振检查对本病诊断有较高价值,可为制定手术方案提供依据。鼻内镜微创外科手术是治疗蝶窦病变的优选术式。
[Objective] To summarize the diagnosis and treatment of isolated sphenoid sinus occupying lesion. [Method] Retrospective analysis of 20 cases with isolated sphenoid sinus occupying lesion. [Result] During those patients, 10 cases .with sphenoid sinus cyst, 5 cases with mycetes sphenoiditis, 3 cases with chronic sphenoiditis, 1 case with craniopharyngioma, and 1 case with osteocarcinoma. The clinical situation including angina capitis （85%）, acuity of vision changing （35%）, cranial never paralysis （25%）, backsiphon haemorrhagia nasalis （30%）. All these patients were checked with CT or MRI before surgery, and were confirmed with the result of pathology. [Conclusion] Common diseases of isolated sphenoid sinus occupying lesion are sphenoid sinus cyst and mycetes sphenoiditis. CT or MRI has high value to diagnosis, and it is result can guide to enact operation program. Endoscopic sinus surgery is the optimal method to treat sphenoid sinus affection.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第3期296-298,共3页
China Journal of Endoscopy
关键词
蝶窦病变
鼻内镜
良性病变
sphenoid sinus
endoscopic sinus
benign lesion
