CAJ | 학술논문

目的:探讨鼻源性眶尖综合征的临床特点和治疗方法.方法:回顾性分析2003-08-2009-02收治的6例鼻源性眶尖综合征的临床资料并结合文献总结该病的临床特点和诊断方法,根据不同病因采用相应的治疗手段.结果:4例为鼻窦感染性疾病,其中2例为蝶窦真菌感染,1例为筛窦黏液囊肿,1例为筛窦鳞状细胞癌.2例痊愈,2例有效,1例死于心肌梗塞,1例仍处在随访中.结论:鼻源性眶尖综合征临床上罕见,多由鼻窦感染性疾病引起,早期病因诊断至关重要,鼻窦感染性疾病引起的眶尖综合征尽早行鼻内镜鼻窦开放术,同时全身应用抗生素及糖皮质激素,效果好;鼻窦肿瘤引起的宜尽早鼻内镜下活检确诊.
목적:탐토비원성광첨종합정적림상특점화치료방법.방법:회고성분석2003-08-2009-02수치적6례비원성광첨종합정적림상자료병결합문헌총결해병적림상특점화진단방법,근거불동병인채용상응적치료수단.결과:4례위비두감염성질병,기중2례위접두진균감염,1례위사두점액낭종,1례위사두린상세포암.2례전유,2례유효,1례사우심기경새,1례잉처재수방중.결론:비원성광첨종합정림상상한견,다유비두감염성질병인기,조기병인진단지관중요,비두감염성질병인기적광첨종합정진조행비내경비두개방술,동시전신응용항생소급당피질격소,효과호;비두종류인기적의진조비내경하활검학진.
Objective:To investigate the clinical characters and therapeutic methods of orbital apex syndrome caused by sinus diseases.Method:Six cases of orbital apex syndrome originated from sinus diseases were retrospective analyzed in our hospital from August 2003 to February 2009. Different therapeutic methods were taken according to different causes of disease.Result:Four cases of sinus infection,one cases of sphenoethmoid mucocele , one cases of sinus squamous cell carcinoma. The results of patients with orbital apex syndrome included cure and effectiveness in 2 cases respectively, death from myocardial infarction in one case, and one case is still following up.Conclusion:Orbital apex syndrome originated from sinus diseases was rare, which was mainly caused by sinus infection . The key point is the correct etiology diagnosis in early phase . Treatment with endoscopic sinus surgery early is a good effective method for orbital apex syndrome caused by sinus diseases, in the same time with enough dosage of antibiotic and glucocorticoid therapy intravenously.