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前组筛窦个别气房的炎症称之为“局限性前组筛窦炎”。特点是持续性患侧鼻根部痛,鼻腔检查一般无异常,华氏位、卡氏位X线摄片报告正常,极易造成漏诊、误诊。CT扫描可以明确诊断。近年我科共诊治4例,均获痊愈,报告如下。 1.临床资料 本组中男2例,女2例,年龄35～48岁,病程最长24年,最短1年,左侧2例,右侧2例。症状:患侧鼻根部持续性疼痛,除受凉或感冒外,一般无鼻塞、流脓涕等鼻窦炎表现;体征:患侧鼻根部压痛,鼻腔通气正常,无脓性或粘脓性涕。X线华氏位、卡氏位摄片报告正常;所有患者均行鼻窦冠状位CT连续扫描,层距2mm;窗口技术:软组织窗宽320Hu,窗位45Hu;骨窗宽1600Hu,窗位400Hu,片示患侧前组筛窦单个气房内密度增高。
Anterior group of ethmoid sinus inflammation of an individual room called “a limited group of ethmoid sinusitis.” Characterized by persistent ipsilateral nasal root pain, nasal examination is generally normal, Fahrenheit, Cardan bit X-ray normal, can easily lead to missed diagnosis, misdiagnosis. CT scan can confirm the diagnosis. In recent years, our department a total of 4 cases were treated, were cured, the report is as follows. 1. Clinical data The group of 2 males and 2 females, aged 35 to 48 years old, the longest course of 24 years, the shortest 1 years, 2 cases left and 2 cases right. Symptoms: ipsilateral nasal continuous pain, in addition to cold or cold, the general non-nasal congestion, purulent tears and other sinusitis performance; signs: ipsilateral nasal tenderness, nasal ventilation is normal, no purulent or purulent mucopurulent. X-ray Fahrenheit, card’s position radiography report normal; all patients underwent coronal CT continuous scan, layer spacing 2mm; window technology: soft tissue window width 320Hu, window level 45Hu; bone window width 1600Hu, window level 400Hu, Show the ipsilateral anterior ethmoid sinus increased density within a single room.