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目的探讨孤立性蝶窦疾病的临床特征、诊断及合理的治疗方法。方法 23例孤立性蝶窦病变患者中慢性蝶窦炎4例,蝶窦囊肿9例,霉菌性蝶窦炎6例,颅咽管瘤1例,脑膜瘤1例,颈内动脉假性动脉瘤2例。均行CT、MRI及鼻内镜检查,根据不同病变选择恰当的治疗方法。结果 20例行鼻内镜手术者术后随访6个月～1年临床症状减轻或消失,视力有不同程度的恢复。鼻内镜检查窦腔黏膜光滑,引流通畅。2例蝶窦颈内动脉假性动脉瘤患者行介入治疗痊愈。结论 CT及MRI检查在蝶窦病变诊断中具有非常重要的作用,为治疗方法的选择提供依据。鼻内镜手术为首选治疗方法,对蝶窦颈内动脉假性动脉瘤则需行介入治疗。
Objective To investigate the clinical features, diagnosis and reasonable treatment of solitary sphenoid sinus disease. Methods Twenty-three patients with solitary sphenoid sinusitis, including 4 cases of chronic sphenoid sinusitis, 9 cases of sphenoid sinus cyst, 6 cases of fungal sphenoid sinusitis, 1 case of craniopharyngioma, 1 case of meningioma, 2 cases. All underwent CT, MRI and endoscopic examination, according to different lesions to choose the appropriate treatment. Results 20 cases of endoscopic surgery were followed up for 6 months to 1 year clinical symptoms reduced or disappeared, visual acuity was restored to varying degrees. Endoscopic sinus mucosa smooth, smooth drainage. Two cases of sphenoid sinus internal carotid artery aneurysm patients underwent interventional therapy. Conclusion CT and MRI examination plays an important role in the diagnosis of sphenoid sinus diseases and provides the basis for the choice of treatment methods. Nasal endoscopic surgery is the preferred treatment method, the sphenoid sinus internal carotid artery pseudoaneurysm need interventional treatment.