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蝶窦恶性肿瘤误诊原因分析
引用本文:邱元正,艾文彬,肖健云,田勇泉,赵素萍. 蝶窦恶性肿瘤误诊原因分析[J]. 临床耳鼻咽喉头颈外科杂志, 2007, 21(2): 58-60
作者姓名:邱元正  艾文彬  肖健云  田勇泉  赵素萍
作者单位:中南大学湘雅医院耳鼻咽喉科,长沙,410008;中南大学湘雅医院耳鼻咽喉科,长沙,410008;中南大学湘雅医院耳鼻咽喉科,长沙,410008;中南大学湘雅医院耳鼻咽喉科,长沙,410008;中南大学湘雅医院耳鼻咽喉科,长沙,410008
摘    要:目的:探讨蝶窦恶性肿瘤的临床特点、治疗效果和误诊原因,以提高诊疗水平。方法:将我科1996~2005年间收治的18例蝶窦恶性肿瘤进行回顾性分析。结果:蝶窦恶性肿瘤以鼻咽癌浸润性为最多见,其次为脊索瘤和非霍奇金淋巴瘤,临床表现为头痛(78%)、视力改变(50%)、颅神经麻痹(39%)、回吸性涕血或鼻出血(11%);临床诊断误诊率达56%。结论:蝶窦恶性肿瘤的影像学诊断有一定局限性,应常规行鼻内镜检查。

关 键 词:蝶窦  鼻窦肿瘤  鼻咽肿瘤
文章编号:1001-1781(2007)02-0058-03
修稿时间:2006-08-20

Analysis of sphenoid sinus malignant tumor misdiagnosis
QIU Yuanzheng,AI Wenbin,XIAO Jianyun,TIAN Yongquan,ZHAO Suping. Analysis of sphenoid sinus malignant tumor misdiagnosis[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2007, 21(2): 58-60
Authors:QIU Yuanzheng  AI Wenbin  XIAO Jianyun  TIAN Yongquan  ZHAO Suping
Affiliation:Department of Otolaryngology, Xiangya Hospital, Central South University, Changsha, 410008, China
Abstract:Objective:To investigate the clinical characteristics,therapeutic efficacy and misdiagnosis status of sphenoid sinus malignant tumor in order to improve the diagnosis rate.Method:Analysing and summarizing 18 patients with sphenoid sinus malignant tumor in our department from 1996 to 2005.Result:The metastatic nasopharyngeal carcinoma is the most of sphenoid sinus malignant tumor,the second is chordocarcinoma and non-Hodgkin lymphoma,its clinical manifestation was headache(78%),sight alteration(50%),cranial nerve palsy(39%),nose bleed(11%);the clinical diagnosis rate was 56%.Conclusion:The nasal endoscopy is the convention examination for these patients with sphenoid sinus malignant tumor whose imageology diagnosis is of limitation.
Keywords:Sphenoid sinus   Paranasal sinus neoplasms, Nasopharyngeal neoplasms
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