孤立性蝶窦病变的诊断与治疗

Diagnosis and Treatment of Isolated Sphenoid Disease

目的探讨孤立性蝶窦病变的诊断和治疗,以降低本病的误诊和漏诊率。方法回顾性分析2000-2005年16例孤立性蝶窦病变患者的临床资料,并复习相关文献;16例均行鼻内镜下蝶窦手术。结果16例患者主要以头痛和(或)眼部症状为首发症状,其中13例在确诊前经过首诊科室的相关检查和对症治疗。全部患者经CT或MRI检查及术后病理检查确诊;15例术后所有症状先后缓解或消失,1例无明显变化。结论蝶窦病变易误诊、漏诊。诊断本病有赖于CT和MRI检查,CT三维重建可为术前评估提供多方位空间信息,鼻内镜下蝶窦手术使本病的治疗更安全、有效。

Objective To improve the diagnosis and treatment of isolated sphenoid disease first manifesting headache and/or eye symptoms. Methods The clinical data of 16cases suffering from isolated sphenoid disease first manifesting headache and/or eye symptoms from 2000 to 2005 were analyzed retrospectively, and the correlated documents were reviewed. Results In this group of the 16 patients, 13 failed to be diagnosed at the frist time of medical consultation. All of the patients underwent endoscopic sphenoid surgery. The symptoms of 15 cases of the patients were improved or disappeared after the operations. Conclusion This isolated sphenoid disease were easily misdiagnosed. The diagnosis depends on CT or MRI and nasal endoscopy. CT by three - dimensional reconstruction can provide more special and precise information. Endoscopic sinus surgery is effective and safe technique for the treatment of the disease.