眼部症状为首要表现的鼻窦疾病误诊的临床分析

Analysis in Paranasal Sinus Diseases Focus Manifesting Ophthalmologic Symptom

目的:探讨以眼部症状为首要表现的鼻窦疾病的病因、症状、体征和诊断等临床特点。方法:对25例以眼部症状为首要表现的鼻窦误诊病例的临床资料进行回顾性分析,其中鼻窦囊肿9例、鼻窦恶性肿瘤7例,鼻窦炎症9例。结果:25例患者首次就诊原因,其中6例表现为眼球突出,5例表现为眼球运动障碍,12例表现为斜视,1例上睑下垂,4例复视,16例有不同程度视力下降,经临床常规检查、影像学、病理学明确诊断。结论:鼻窦与眼眶关系密切,鼻窦鼻腔病变常首诊于眼科,影像学检查在鼻眼相关性疾病诊疗中有重要的价值。

Objective：To investigate the etiology,symptoms,signs and diagnosis of paranasal sinus diseases focus manifesting ophthalmologic symptom.Methods：The clinical data was collected from 24 cases with paranasal sinus diseases focus manifesting ophthalmic symptoms,including 9 sinusitic cysts,7 sinusitic cancers,and 9 sinustis.Results：25 cases firstly visited ophthalmologic office because of protrusion of eyeball in 6 cases,disorder in eye movement in 5 cases,strabismus in 12 cases,blephroptosis in 1 case,diplopia in 4 cases,and impaired visual acuity in 12 cases.The diagnosis of total 24 cases were confirmed by regular examinations,radiology and pathology.Conclusion：There is a close relationship between the orbit and accessory nasal sinuses,and the diseases in sinuses often involved into orbit and cause the symptoms in eye.Image examination is valuable in the diagnosis and treatment of such diseases.