| 儿童孤立性蝶窦炎的诊治体会 |
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| 引用本文： | Ai D,Huang J,Zhang H,Huang M,Chen M,Gao L. 儿童孤立性蝶窦炎的诊治体会[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(14): 627-629 |
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| 作者姓名： | Ai D Huang J Zhang H Huang M Chen M Gao L |
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| 作者单位： | 揭西县中医医院耳鼻咽喉科,广东揭阳,515400 |
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| 摘 要： | 目的:回顾性分析儿童孤立性蝶窦炎的临床表现、诊断及治疗方式,以提高对该病的认识达到早期正确诊治.方法:对2001-06-2010-01期间收治的17例儿童孤立性蝶窦炎患者的临床资料进行回顾性分析.结果:17例患儿中主诉头痛9例,回吸黏脓涕中带血伴头痛、发热3例,鼻后滴漏伴头痛、低热5例.病史15 d～1年不等.专科检查5例嗅裂少许黏脓涕引流,1例蝶筛隐窝处单发息肉,8例腺样体明显肥大,余无阳性体征,CT或MRI均示蝶窦炎或蝶窦积液.8例经抗生素规范治疗痊愈,余9例行鼻内镜下手术治疗,症状均缓解,随访1～5年无复发.结论:儿童孤立性蝶窦炎主要表现为不同程度及部位不定的头痛,少有鼻部症状,易误诊漏诊; CT或MRI是确诊的依据;治疗急性蝶窦炎可经抗生素规范治疗;慢性者应及时行鼻内镜手术治疗,蝶窦开放首选上鼻甲径路蝶窦自然开口开放术.
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| 关 键 词： | 蝶窦炎 儿童 鼻内镜手术 |
The diagnosis and management of isolated sphenoiditis in children |
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| Ai Dongliang,Huang Jinbo,Zhang Haiyan,Huang Mianru,Chen Meihua,Gao Lixuan. The diagnosis and management of isolated sphenoiditis in children[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2011, 25(14): 627-629 |
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| Authors: | Ai Dongliang Huang Jinbo Zhang Haiyan Huang Mianru Chen Meihua Gao Lixuan |
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| Affiliation: | AI Dongliang HUANG Jinbo ZHANG Haiyan HUANG Mianru CHEN Meihua GAO Lixuan(Department of Otolaryngology,Chinese Medicine Hospital of Jiexi,Jieyang,515400,China) |
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| Abstract: | Objective:Analyzing the clinical manifestation,diagnosis and management of isolated sphenoiditis in children,retrospectively,was to get more information of the disease and to supply correct treatment early.Method:The symptoms,signs and imaging data of seventeen cases with isolated sphenoiditis hospitalized in our department from June 2001 to January 2010 were analyzed retrospectively.Result:Nine out of seventeen patients had the chief complaint of headache,three patients had blood in nasal discharge and had... |
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| Keywords: | sphenoiditis children endoscopic sinus surgery |
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