单侧鼻窦疾病的临床特征分析

【目的】探讨单侧鼻窦发病的规律。【方法】回顾性分析了1998年1月至2004年10月间收治的6266例鼻窦疾病患者中793例单侧鼻窦疾病患者的诊断资料。【结果】793例患者中慢性鼻窦炎者425例，占53．6％；鼻窦真菌病102例，占12．9％；鼻窦乳头状瘤51例，占6．4％；鼻窦囊肿117例，占14．8％；上颌窦出血坏死性息肉23例，占42、9％；上颌骨骨纤维组织异常增殖症2例．占0.25％；骨瘤11例，占1．4％；上颌窦血管瘤2例，占0.25％；脑膜或脑膜-脑膨出5例，占0.6％；恶性肉芽肿19例，占2．4％；恶性肿瘤36例，占4．6％。【结论】有近半数(46．4％)的单侧鼻窦疾病患者所患的疾病为非普通的性性炎症性疾病，这对于指导临床诊断思维有重要意义。

Clinical Characteristics Analysis of Single Nasal Sinus Diseases

To investigate the features of disease of the single nasal sinus.The clinical data of 793 cases of the single nasal sinus diseases out of 6266 cases of nasal sinus diseases from January 1998 to October 2004 were reviewed.There were 425 (53.6%) cases of chronic sinusitis, 102 (12.9%) cases of rhinomycosis, 51 cases (6.4%) of accessory papilloma, 117 cases (14.8%) of nasal sinus cyst, maxillary sinus bleeding and necrotic polypus in 23 cases (2.9%), maxillary sinus fibrous dysplasia in 2 cases (0.25%), osteoma in 11 cases (1.4%), maxillary sinus hemangioma in 2 cases (0.25%), meningocele or meningoencephalocele in 5 cases (0.6%), malignant granunoma in 19 cases (2.4%), malignant tumour 36 cases (4.6%) in these 793 cases of single nasal sinus diseases.Conclusion]There are about a half (46.4%) of single nasal sinus diseases which do not belong to chronic sinusitis.This fact is very important for clinical diagnosis and treatment.