蝶窦囊肿诊治47例分析

目的：提高对蝶窦囊肿的认识，以利于其诊断和治疗，方法：回顾性分析蝶窦囊肿４７例，总结其发病趋势、临床表现，影像学特征及治疗效果。结果：蝶窦囊肿最主要的临床症状为头痛，约占６４％；其次为眼部症状，再次为鼻部症状。蝶窦囊肿最易易及视神经，影响者视力，早期手术有利于神经力的恢复。鼻内窥镜下蝶窦囊肿摘除了术有损伤小，出血少，痛苦轻，手术时间短、安全，术后恢复快等优点。结论：ＣＴ、ＭＲＩ和鼻内窥镜的应用，提

Diagnosis and treatment of sphenoid sinus cyst

Objective: To better understand the sphenoid sinus cyst and make correct diagnosis and treat it efficiently.Method:47 patients with sphenoid sinus cyst were investigated.Presenting symptoms,radiographic appearances and treatment were analyzed,respectively.Result:The present study demonstrated that the incidence of sphenoid sinus cyst had apparently increased in recent years.The most common symptom was headache, accident rate was 64%,followed by ocular disturbance,nose was involved in 15% patients.The optic nerve is the most frequently involved cranial nerve it makes decompression surgery necessary to recovery visual loss.Radiographic finding made contribution to location the lesion and exposition nature of the lesion.With the help of nasal endscope,more information could be get to establish correct diagnosis,and operation under nasal endoscope would be safe with minimal blood loss,reduced operating time,less pains and short postoperative hospitalization.Conclusion:CT,MRI and nasal endoscope provide the greatest diagnosis information and guide management,nasal endoscope plays an important role in treatment of sphenoid sinus cyst.Emergency surgery should be performed on patients with visual loss.