| 蝶窦炎并眼-神经科综合征5例的临床分析 |
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| 引用本文： | 杜小平,蔡青,马哲兰,陶泽璋,吴展元. 蝶窦炎并眼-神经科综合征5例的临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2002, 16(2): 78-79 |
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| 作者姓名： | 杜小平 蔡青 马哲兰 陶泽璋 吴展元 |
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| 作者单位： | 武汉大学人民医院耳鼻咽喉-头颈外科,武汉,430060 |
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| 摘 要： | 目的 :探讨蝶窦炎所致眼 神经科综合征的临床特征和治疗方法。方法 :回顾性分析 5例蝶窦炎并眼 神经科综合征病例的临床资料 ,CT扫描是主要诊断依据 ;手术治疗 3例 ,保守治疗 2例。结果 :蝶窦开放术或保守治疗均缓解了头痛症状 ,但视力障碍和其它眼 神经科体征无改善。结论 :CT扫描有利于早期诊断和排除球后占位性病变 ;对于有并发症的蝶窦炎宜尽早手术 ,同时宜行视神经管减压术
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| 关 键 词： | 蝶窦炎 眼神经科综合征 X线计算机断层摄影术 |
| 文章编号： | 1001-1781(2002)02-0078-02 |
| 修稿时间： | 2001-05-30 |
Treatment of the sphenoid sinusitis with neuro-ophthalmologic syndromes |
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| DU Xiaoping CAI Qing MA Zhelan TAO Zezhang WU Zhangyuan. Treatment of the sphenoid sinusitis with neuro-ophthalmologic syndromes[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2002, 16(2): 78-79 |
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| Authors: | DU Xiaoping CAI Qing MA Zhelan TAO Zezhang WU Zhangyuan |
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| Affiliation: | Department of Otorhinolaryngology-Head and Neck Surgery, Peoples Hospital of Wuhan University, Wuhan 430060. |
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| Abstract: | Objective:To analyze the diagnosis and the treatment of neuro ophthalmologic syndromes caused by sphenoid sinusitis.Method:5 cases with neuro ophthalmologic syndromes caused by acute or chronic sphenoid sinusitis were reuiewed, 3 of them were performed a sphenoidostomy and other two were treated by injecting antibiotics and steroid.Result:The surgery and antibiotics can relieve the headache. However, recovery of the neuro-ophthalmologic syndromes was inconstant.Conclusion:CT scan can provide an early diagnosis and differential diagnosis. The delayed surgery may be response for the unsatisfied treatment results. |
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| Keywords: | Sphenoid sinusitis Neuro ophthalmologic syndromes X ray computed tomography |
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