摘要
目的：探讨蝶窦病变临床表现、影像学和组织病理学特点及不同治疗方法的选择。方法：将２８例资料完整的蝶窦病变病例进行分析总结。结果：蝶窦病变临床表现多为头痛（８９３％，２５／２８）、颅神经麻痹（７５０％，２１／２８）、垂体功能改变（２１４％，６／２８）。比较蝶窦病变的ＣＴ、ＭＲＩ检查影像学诊断与组织病理学诊断，求得影像学诊断准确率为８９３％。治疗方法包括手术、放疗、伽玛刀治疗及化疗。结论：蝶窦病变早期缺乏明显症状，出现头痛、颅神经症状及垂体功能改变，说明病变已侵及周围结构。ＣＴ、ＭＲＩ检查等影像学诊断尚有一定局限性。治疗蝶窦病变的首选术式为鼻外筛窦径路蝶窦手术。
Objectives: To analyze the clinical manifestations, imaging and histopathologic features of sphenoidal sinus disease, as well as the choice of method of treatment. Method:By analysis of date of 28 cases of sphenoidal sinus diseases. Results:The main clinical manifestations of sphenoidal sinus disease were headache(89.3%,25/28) cranial nerves paralysis(75.0%,21/28) and pituitary functional changes(214%,6/28).By comparing CT,MRI imaging and histopathologic diagnosis,we found that the rate of accuracy by imaging was 893%.Treatments for sphenoidal sinus diseases included surgery, radiotherapy, chemotherapy and gammaknife therapy.Conclusions:There are no clear-cut signs at the beginning of most sphenoidal sinus diseases, the presence of headache, cranial nerves paralysis and pituitary functional changes indicate that the disease has invaded the adjacent structures, imagingdiagnosis as CT, MRI are still of limited usefulness.The first choice of treatment should be surgery,by external ethmoidal approach, for comprehensive therapy the gammaknife is preferred.
出处
《上海医学》
CAS
CSCD
北大核心
1998年第9期497-499,共3页
Shanghai Medical Journal
