以视力下降为首发症状的蝶窦病变

发布时间：2018-03-22 06:04

本文选题：鼻窦病变　切入点：视力下降　出处：《山东大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的探讨孤立性蝶窦病变的早期诊断及合理的治疗方法,防止误诊和误治。方法回顾性分析我科自2010年2月-2011年2月收治的4例以视力下降为首发症状的蝶窦病变患者的临床资料。结果 4例患者中,术后病理示：胚胎性横纹肌肉瘤1例、蝶窦囊肿3例,经鼻内镜手术后,恶性肿瘤患者拒绝进一步治疗于8个月后死亡,蝶窦囊肿患者加用激素、营养神经等药物治疗后,经过6个月-1年的随访期,蝶窦囊肿患者视力获得了较为满意的恢复,无其他并发症。结论孤立性蝶窦疾病以视力下降为首发症状的较为罕见,另有头痛、血性涕及其他脑神经麻痹症状,CT、MRI及鼻内镜检查为孤立性蝶窦病变的诊断提供有力依据；鼻内镜技术也是一种安全、有效、简便的手术方式。
[Abstract]:Purpose. To explore the early diagnosis and reasonable treatment of solitary sphenoid sinus disease to prevent misdiagnosis and mistreatment. Method. The clinical data of 4 patients with sphenoid sinus disease whose first symptom was visual acuity from Feb 2010 to Feb 2011 were analyzed retrospectively. Results. Among the 4 patients, 1 case was embryonal rhabdomyosarcoma, 3 cases were sphenoid sinus cyst. After endoscopic sinus surgery, malignant tumor patients refused to be treated further 8 months later, the patients with sphenoid sinus cyst were treated with hormone. After 6 months to 1 year follow-up, the visual acuity of sphenoid sinus cyst patients recovered satisfactorily without any other complications. Conclusion. The first symptom of solitary sphenoid sinus disease is visual acuity decline. The other symptoms of solitary sphenoid sinus diseases are headache, bloody snot and other cerebral palsy symptoms. CTMRI and nasal endoscopy can provide powerful basis for the diagnosis of solitary sphenoid sinus disease. Nasal endoscopy is also a safe, effective and simple surgical method.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R765.4

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