孤立性蝶窦疾病12例临床分析

目的:分析孤立性蝶窦疾病的临床特征.方法:12例均行鼻窦CT检查,1例行药物治疗,11例行手术治疗.结果:12例中蝶窦囊肿7例,蝶窦炎3例,真菌性蝶窦炎(真菌球)2例;临床表现以头痛为主,另外还有鼻部及眼部症状.随诊0.5~2年,症状均消失,无复发.结论:孤立性蝶窦疾病以良性病变为主,其临床表现不典型,以头痛多见,结合影像学检查可诊断,鼻内镜下蝶窦开放术有良好的治疗效果.

Clinical analysis of the isolated sphenoid sinus disease in 12 cases

Objective:To analyze the clinical features of the isolated sphenoid sinus disease.Methods:Twelve patients were examined with sinus CT.One case was treated with drug,and 11 cases were treated with operation.Results:Seven cases with sphenoid sinus cyst,3 cases with sphenoiditis and 2 cases with fungal sphenoiditis were identified.The headache was the main clinical manifestation,and the nasal and ocular symptoms were also found.All patients were followed up for 0.5 to 2 years,and the clinical symptoms disappeared and no recurrence occured.Conclusions:The benign lesion is the main manifestation of isolated sphenoid sinus disease,its clinical manifestation is not typical,and headache is common.The treatment effect of the isolated sphenoid sinus disease with intranasal sphenoid sinusotomy combined with imaging examination is good.