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目的:探讨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1996～2005年25例蝶窦病变患者的临床资料,并复习相关文献;25例均行鼻内镜下蝶窦手术。结果:25例患者主要以头痛和(或)眼部症状为首发症状,其中21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;24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 explore the diagnosis and treatment of sphenoid sinus diseases in order to reduce the misdiagnosis and misdiagnosis rate of this disease. Methods: The clinical data of 25 patients with sphenoid sinus diseases from 1996 to 2005 were analyzed retrospectively. The related literatures were reviewed. All 25 patients underwent endoscopic sinus surgery. Results: Twenty-five patients had headache and / or ocular symptoms as the first symptom, of which 21 were examined and symptomatic treated in the first department before diagnosis. All patients were diagnosed by CT or MRI and postoperative pathological examination; all the symptoms of 24 patients were relieved or disappeared one after the other, one case had no significant change. Conclusion: Sphenoid sinus diseases are misdiagnosed and missed. Diagnosis of the disease depends on the CT and MRI examination, CT three-dimensional reconstruction can provide multi-dimensional spatial information for preoperative assessment, endoscopic sinus surgery to make the treatment of the disease more secure and effective.