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目的提高对孤立性蝶窦病变的诊断率和治疗率。方法回顾性分析2005年12月～2010年12月收治的15例孤立性蝶窦病变患者的临床表现、影像学特点、鼻内镜检特点以及鼻内镜手术治疗效果。结果蝶窦病变最主要的临床症状为头痛,鼻部症状并不典型。经影像学及鼻内镜检可确诊为孤立性蝶窦病变。经鼻内镜手术并随访6个月至3年,15例患者中1例复发,其余获治愈,治愈率达93.3%。复发患者经再次手术后获治愈。结论孤立性蝶窦病变临床症状无特异性表现,临床医师对该病认识不足是导致误诊的主要原因。CT、MRI和鼻内窥镜检查提高了对个孤立性蝶窦病变的诊断水平,经鼻内镜蝶窦手术治疗孤立性蝶窦病变可获得良好的效果。
Objective To improve the diagnosis of solitary sphenoid sinus disease and treatment rate. Methods The clinical manifestations, imaging features, endoscopic features and endoscopic sinus surgery were retrospectively analyzed in 15 patients with solitary sphenoid sinus disease from December 2005 to December 2010. Results The main clinical symptom of sphenoid sinus was headache, and the symptoms of the nose were not typical. The imaging and nasal endoscopy can be diagnosed as solitary sphenoid sinus disease. Nasal endoscopic surgery and follow-up of 6 months to 3 years, 15 patients in 1 case of recurrence, the rest were cured, the cure rate was 93.3%. Recurrent patients were cured after surgery again. Conclusion The clinical symptoms of solitary sphenoid sinus have no specific manifestation. The lack of understanding of the disease by clinicians is the main reason leading to misdiagnosis. CT, MRI and nasal endoscopy improve the diagnosis of solitary sphenoid sinus disease, endoscopic sinus surgery to treat solitary sphenoid sinus disease can obtain good results.