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以眼部症状为主要表现的鼻窦黏液囊肿临床分析:附3例报告

[Clinical analysis of nasal sinus mucocele with eye symptoms as main manifestation: 3 cases report].

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Apr;29(7):666-7.

Abstract

Endoscopic sinus surgery is effective to nasal sinus mucocele with eye symptoms as main manifestation. It is very importment to raise the awareness of the disease and to prompt imaging examination. Three cases were reviewed. One mucocele was found in the frontal sinus ethmoid sinus,1 in the fronto-ethmoid sinus and 1 in the spheno-ethmoid sinus. All cases were preoperatively diagnosed by CT, MRI or intranasal endoscopy. Nasal sinus mucocele with eye symptoms as main manifestation should be early diagnosed. Endoscopic sinus surgery is a safe and effective method for the treatment of nasal sinus mucocele,and could be the primary choice for it. All cases were treated by nasal endoscopic sinus surgery. The majority of symptoms, such as exophthalmos, epiphora and diplopia, disappeared in all patients. However, vision recovery was observed only in some patients.

摘要

以眼部症状为主要表现的鼻窦黏液囊肿,鼻内镜鼻窦手术治疗有效。提高对该病的认识并及时进行影像学检查非常重要。回顾了3例病例。1例黏液囊肿位于额窦筛窦,1例位于额筛窦,1例位于蝶筛窦。所有病例术前均经CT、MRI或鼻内镜检查确诊。以眼部症状为主要表现的鼻窦黏液囊肿应早期诊断。鼻内镜鼻窦手术是治疗鼻窦黏液囊肿的一种安全有效的方法,可为首选。所有病例均行鼻内镜鼻窦手术治疗。所有患者的大多数症状,如眼球突出、流泪和复视等均消失。然而,仅部分患者视力恢复。

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