以眼胀痛为主要症状的上颌窦黏膜囊肿17例

发布时间：2018-03-01 10:41

本文关键词： 眼痛上颌窦囊肿　出处：《临床耳鼻咽喉头颈外科杂志》2014年02期 　论文类型：期刊论文

【摘要】：目的:通过对2003-01-2011-09期间收治的无明显鼻部症状的17例眼痛患者进行回顾性分析,引起对上颌窦黏膜囊肿的重视,从而减少漏诊与漏治的机率。方法:全部病例均行眼位、视力、屈光、视野、眼压、眼底等眼科检查均排除眼病,经行鼻窦冠状位CT扫描排除鼻中隔偏曲、泡状中甲、Haller气房,显示上颌窦有囊肿。经鼻内镜行中鼻道或下鼻道联合路径手术,术后应用抗生素,24h后取出鼻腔内填塞物,术后1周出院,继续局部使用鼻用激素喷鼻。均随访6个月,了解眼痛消失及是否复发,在内镜下对术腔各情况进行处理。结果:17例中,14例眼痛在术后消失,3例症状缓解,随访期无复发。结论:上颌窦黏膜囊肿可以引起眼痛,经排除眼病且确诊为上颌窦囊肿者,不论囊肿位置与大小,常规应用激素治疗无效后,应尽早手术治疗。
[Abstract]:Objective: through retrospective analysis of 17 cases of ocular pain without obvious nasal symptoms in the period from January to September 2003,17 cases of maxillary sinus mucosal cysts were analyzed retrospectively, so as to reduce the probability of missed diagnosis and missed treatment. Methods: all cases were treated with eye position and visual acuity. Ophthalmologic examinations such as refraction, visual field, intraocular pressure and fundus were all used to exclude ophthalmopathy. Nasal sinus coronal CT scan was performed to remove nasal septum deviation, bubble megalocele Haller chamber, showing cyst in maxillary sinus.Transnasal endoscopy was performed on the combined pathway of middle nasal canal and inferior nasal canal. Nasal fillers were removed 24 hours after the application of antibiotics and discharged from hospital 1 week after operation. All patients were followed up for 6 months to find out if the eye pain disappeared and whether there was recurrence. Results of 17 cases, 14 cases of ocular pain disappeared after operation and 3 cases had no recurrence after operation. Conclusion: maxillary sinus mucosal cyst can cause eye pain, which can be excluded and diagnosed as maxillary sinus cyst. No matter the location and size of cysts, surgical treatment should be done as soon as possible after routine hormone therapy is ineffective.
【作者单位】：桂林市人民医院耳鼻咽喉科;
【分类号】：R765.4

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