[孤立性蝶窦疾病（18例分析）]
[Isolated sphenoid sinus disease (an analysis of 18 cases)].
作者信息
Kong Yonggang, Tao Zezhang, Sheng Jianfei, Wu Yuzhen
机构信息
Department of Otolaryngology-Head and Neck Surgery, People's Hospital, Wuhan University, Wuhan 430060.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2003 May;17(5):277-8.
OBJECTIVE
To evaluate the diagnosis and reasonable treatment for the disease of isolated sphenoid sinus.
METHOD
Eighteen cases with disease of isolated sphenoid sinus who undergone endoscopic sinus surgery were studied.
RESULT
Fifteen cases with sphenoid sinusitis(including 2 cases with acute inflammation, 3 cases with chronic inflammation, 8 cases with cyst, 2 cases with mycosis), 3 cases with malignant tumor. 18 cases were cured by nasal endoscopy surgery without complication.
CONCLUSION
Headache is the optima to occurrence of manifestation in patients with isolated sphenoid sinus disease. Besides, there are other symptoms including the lesion of eyesight, bloody nasal discharge and cranial nerve paralysis. CT scan, MRI and nasal endoscopy provide effective method for its diagnosis. In a word, nasal endoscopy surgery is a safe and convenient for the disease of isolated sphenoid sinus.
目的
评估孤立性蝶窦疾病的诊断及合理治疗方法。
方法
对18例行鼻内镜鼻窦手术的孤立性蝶窦疾病患者进行研究。
结果
蝶窦炎15例（包括急性炎症2例、慢性炎症3例、囊肿8例、真菌病2例），恶性肿瘤3例。18例经鼻内镜手术治愈，无并发症。
结论
头痛是孤立性蝶窦疾病患者最常见的临床表现，此外还有视力损害、鼻出血及脑神经麻痹等其他症状。CT扫描、MRI及鼻内镜检查为其诊断提供了有效方法。总之，鼻内镜手术治疗孤立性蝶窦疾病安全、便捷。
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