以眶尖综合征为主要表现的鼻窦病变6例报告

古庆家; 李静娴; 樊建刚; 何刚

doi:10.13201/j.issn.1001-1781.2013.02.007

以眶尖综合征为主要表现的鼻窦病变6例报告

- 四川省人民医院耳鼻咽喉科(成都, 610072)

详细信息

通讯作者: 何刚,E-mail:heganghegang@live.cn

中图分类号: R765.4

收稿日期: 2012-07-13

Report of 6 orbital apex syndrome caused by sinus diseases

- Department of Otorhinolaryngology, Sichuan Provincial People's Hospital, Chengdu, 610072, China

More Information

Corresponding author: HE Gang, E-mail: heganghegang@live.cn

Received Date: 13 July 2012

摘要

摘要: 目的:探讨以眶尖综合征为主要表现的鼻窦病变的诊断与治疗方法,使其得到早期诊断和及时治疗。方法:回顾性分析我科2008-01-2012-03期间收治6例以眶尖综合征为主要表现的鼻窦病变患者的临床资料。结果:6例患者中,真菌性蝶窦炎2例,蝶窦囊肿2例,筛窦囊肿2例。所有病例术前行鼻内镜、CT或MRI检查,并经术后病理检查证实。结论:以眶尖综合征为主要表现的鼻窦病变临床上少见,临床医师尤其是眼科医师对该病认识不足易致误诊、漏诊。CT或MRI检查对本病诊断有较高价值,可为制定手术方案提供依据。尽早行鼻内镜下鼻窦开放术已成为首选的治疗方法。
- 眶尖综合征 /
- 鼻窦疾病 /
- 诊断 /
- 鼻内镜
Abstract: Objective:To investigate the diagnostic and therapeutic methods of orbital apex syndrome caused by sinus diseases and to achieve earlier diagnosis and timely treatment.Method:Clinical data of 6 cases in our department from January 2008 to March 2012 were retrospectively analyzed.Result:All cases had surgical treatment.All cases were preoperatively diagnosed by CT,MRI or intranasal endoscopy.The postoperative pathology showed 2 cases with fungal sphenoiditis,2 cases with ethmoid mucocele and 2 cases with sphenoid mucocele.Conclusion:Orbital apex syndrome caused by sinus diseases is very rare.The possible causes of misdiagnosis are low incidence of the disease,nonspecific eye symptoms,and unawareness of the doctor,especially ophthalmologist.CT,MRI or intranasal endoscopy can greatly improve the diagnosis of the disease.Endoscopic sinus surgery is a safe and effective method for orbital apex syndrome caused by sinus diseases,which is the primary therapy for the disease.
- orbital apex syndrome /
- paranasal sinus disease /
- diagnosis /
- endoscopic sinus

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参考文献(9)

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