颈静脉球瘤的误诊分析

吴媛媛; 黄德亮; 冯勃

doi:10.13201/j.issn.2096-7993.2020.05.011

颈静脉球瘤的误诊分析

- 1.
  湖北医药学院附属襄阳市第一人民医院耳鼻咽喉科(湖北襄阳，441000)
- 2.
  中国人民解放军总医院耳鼻咽喉头颈外科医学部国家耳鼻咽喉疾病临床医学研究中心聋病教育部重点实验室聋病防治北京市重点实验室解放军总医院医疗大数据应用技术国家工程实验室
基金项目:
国家863计划(No：2015AA8092017D)；解放军总医院医疗大数据项目耳鼻咽喉头颈外科住院患者多疾病数据库构建和疾病谱深度分析(No：2017MBD-018)

详细信息

通讯作者: 冯勃，E-mail：fbo301@163.com

中图分类号: 739.61

收稿日期: 2019-08-11

刊出日期: 2020-05-05

Analysis of misdiagnosis glomus jugulare tumor

- 1.
  Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, China
- 2.
  College of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital; National Clinical Research Center for Otolaryngologic Diseases; State Key Lab of Hearing Science, Ministry of Education of China; Beijing Key Lab of Hearing Impairment Prevention and Treatmen; National Engineering Laboratory for Medical Big Data Application Technology

More Information

Corresponding author: FENG Bo, E-mail: fbo301@163.com

Received Date: 11 August 2019

Publish Date: 05 May 2020

摘要

摘要: 目的探究颈静脉球瘤患者的误诊原因。方法回顾性分析116例颈静脉球瘤患者的临床资料。结果 116例患者于当次住院就诊前曾有误诊者65例，平均误诊时间4.90年。误诊病种为慢性化脓性中耳炎或中耳胆脂瘤25例，神经性耳鸣或听力下降16例，面瘫6例，外耳道肿物4例，分泌性中耳炎3例，颈部肿物3例，颅内占位2例，中耳癌1例，声带麻痹1例，口腔炎1例，视神经乳头水肿1例，中耳血管瘤1例，血管性耳鸣1例。结论颈静脉球瘤的误诊原因可归纳为：患者的首发症状无特异性；缺乏辅助检查，尤其是影像学检查；医师对颈静脉球瘤的影像学检查及病理检查认识不足。
- 颈静脉球瘤 /
- 误诊 /
- 诊断
Abstract: Objective To analyze the causes of misdiagnosis of patients with glomus jugulare tumor.Method The clinical data of 116 patients with glomus jugulare tumor were retrospectively analyzed.Result Among the 116 patients, 65 were misdiagnosed, the average duration of misdiagnosis was 4.90 years. The misdiagnosed diseases were chronic otitis media or cholesteatoma in 25 cases, neurological tinnitus or hearing loss in 16 cases, facial paralysis in 6 cases, external auditory canal masses in 4 cases, secretory otitis media in 3 cases, neck mass in 3 cases, intracranial neoplasma in 2 cases, middle ear cancer in 1 case, vocal cord paralysis in 1 case, stomatitis in 1 case, optic nerve head edema in 1 case, middle ear hemangioma in 1 case and vascular tinnitus in 1 case.Conclusion The misdiagnosis of glomus jugulare tumor can be summarized as follows: the patients' first symptoms were not specific; lack of auxiliary examination, especially imaging examination; physicians have insufficient understanding of imaging and pathological examination of glomus jugulare tumor.
- glomus jugulare tumor /
- misdiagnosis /
- diagnosis

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