50例蝶窦病变的临床分析

Clinical analysis of 50 cases of sphenoid sinus disease

目的探讨蝶窦病变的临床特点、治疗效果和误诊情况,以提高诊断率。方法将南华大学附属第二医院2001—2009年间收治的50例蝶窦病变进行分析总结。结果蝶窦病变以囊肿为最多见,其次为真菌、恶性肿瘤,恶性肿瘤主要为转移性鼻咽癌;临床表现有头痛(78%)、视力改变(50%)、颅神经麻痹(24%)、回吸性涕血或鼻出血(32%)。结论蝶窦病变应常规行鼻内镜检查,鼻内镜手术是治疗蝶窦病变的优选术式。

Objective To probe into the clinical characteristics,therapeutic efficacy and misdiagnosis status of sphenoid sinus disease in order to improve the diagnosis.Methods The clinical data of 50 patients with sphenoid sinus disease were analyzed from 2001 to 2009. Results Cystis was the most of sphenoid sinus disease,the second was eumycete infection,and then malignant tumor.Among malignant tumor,the most was metastatic nasopharyngeal carcinoma.The clinical manifestations of sphenoid sinus disease were headache（78%）,sight alteration（50%）,cranial nerve palsy（24%）,and nose bleed（32%）.Conclusions The nasal endoscopy is the convention examination for the patients with sphenoid sinus disease.Endoscopic sinus surgery is the optimal method for sphenoid sinus disease.