以眼部症状为首发的额、筛囊肿16例临床分析

目的：探讨以眼部症状为首发的额、筛囊肿的诊断及经鼻内镜手术治疗的疗效。方法：回顾性分析2006—02—2008—03期间收治的16例额、筛囊肿患者的临床资料。结果：16例患者中鼻窦MRI及CT检查诊断符合率为100％。14例患者经鼻内镜手术治疗后眼部症状消失，2例好转。随访3～6年，至今均无复发，疗效满意。结论：鼻窦与眼眶关系密切，鼻窦病变患者常首诊于眼科；MRI及CT检查结果对确诊很有价值。对于以眼部症状为主症的额、筛囊肿患者应及早确诊；鼻内镜手术治疗是安全有效的首选治疗方法。

Clinical analysis of 16 cases frontal,ethmoid sinus cyst with eye symptoms as initial amount

Objective：To investigate the diagnosis of frontal.ethmoid sinus cyst with eye symptoms as initial amount,and the curative effect of nasal endoscopic operation. Method： To retrospectively analyze clinical data of sixteen patients with frontal.ethmoid sinus cyst from February 2006 to March 2008. Result：Diagnostic accordance rate of paranasal sinus MRI and CT examination In 16 patients is 100%. Fourteen patients＇ ocular symptoms disappeared after nasal endoscope operation treatment, two of them improved. None of them recurrened after the fol- low-up 3-6 years up to now, all the patients had satisfactory curative effect. Conclusion：Paranasal sinuses and orbital cavity have close relationship , patients with sinus lesions always firstly visit Ophthalmology doctor. The results of MRI and CT examination are of great value for diagnosis. Patients with frontal.ethmoid sinus cyst with eye symptoms as initial amount should be early diagnosed. The treatment of nasal endoscope operation is safe.d- fectiveand is worth of firstly chosen.