摘要
目的探讨儿童孤立性蝶窦炎的临床表现、诊断及鼻内镜手术的疗效。方法分析该科2000年1月~2006年7月收治的5例儿童孤立性蝶窦炎患者的临床表现、影像学资料及其诊治的经验。结果5例患儿中主诉头痛4例,回吸涕中带血1例。病史0.25~1.00年。专科检查仅1例嗅裂少许黏涕引流,余无阳性体征,CT或MRI示蝶窦炎或蝶窦积液。5例均行鼻内镜手术治疗,术后症状均缓解,无手术并发症,随访1~5年无复发。结论儿童孤立性蝶窦炎主要表现为不同程度及部位不定的头痛,阳性体征少,CT或MRI检查有助于早期诊断。鼻内镜手术是有效、安全、微创的治疗方式。
[Objective] To explore the manifestation, diagnosis and curative effect of endoscopic surgery for isolated sphenoiditis in children. [Methods] The symptoms, imaging data and treatment of 5 cases with isolated sphenoiditis hospitalized in the Second Affiliated Hospital of Sun Yat-sen University from January 2000 to July 2006 were analyzed retrospectively. [Results] 4 out of 5 patients had the chief complaint of headache, 1 patient had blood in nasal discharge. The disease lasted for 3 months to 1 year. Only ...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第7期738-740,743,共4页
China Journal of Endoscopy
关键词
蝶窦炎
儿童
鼻内镜
手术
sphenoiditis
children
nasal endoscope
surgery