孤立性蝶窦病变的诊治体会

Diagnonis and Treatment of Isolated Sphenoid Sinus Disease

目的 :提高对孤立性蝶窦病变的诊断率和治疗率。方法 :回顾分析 1995年～ 2 0 0 2年 3月 17例孤立性蝶窦病变的临床表现。结果 :蝶窦病变最主要的临床症状为头痛 ,约占 76 .5 % ;其次为眼部症状 ,再次为鼻部症状。结论 :孤立性蝶窦病变并非罕见 ,但临床症状无特异性表现 ,医师对该病认识不足是导致误诊的主要原因。CT、MRI和鼻内窥镜检查提高了对蝶窦病变的诊断水平 。

Objective: To diagnose and treat isolated sphenoid sinus disease correctly. Methods: 17 patients with isolated sphenoid disease from 1995 to 2002 were reviewed. Results: The most common symptom of isolated sphenoid sinus disease was headache, the rate of which was 76.5 %,followed by ocular disturbance, nose symptom was involved in 29.4% patients. Conclusion: The main causes of misdiagnosis were:low incidence of the disease, nonspecific clinical symptoms,and unawareness of the doctor.CT,MRI and nasal endoscope provide the greatest diagnosis information and guide management for isolated sphenoid sinus disease and endoscopic surgery is valuable in its treatment.