CAJ | 학술논문

目的分析4例眼眶病的误诊和漏诊原因，为眼眶病的正确诊断和治疗提供帮助。方法对近半年误诊或漏诊的4例住院病人的初诊和最后诊断的不同结果进行分析。结果 4例患者中，1例颈动脉海绵窦瘘分别误诊为外展神经麻痹和眶尖部炎性假瘤；1例眶尖部炎性假瘤早期诊断为眶上神经痛；1例泪囊癌按泪道阻塞门诊长期治疗；1例眶蜂窝织炎治愈后复查CT发现有黏液囊肿。结论眼眶病涉及范围错综复杂，详细地询问病史和检查，阳性体征的仔细分析，影像学的合理利用，将会大大提高眼眶病诊断的正确率。
목적 분석4례안광병적오진화루진원인，위안광병적정학진단화치료제공방조。방법 대근반년오진혹루진적4례주원병인적초진화최후진단적불동결과진행분석。결과 4례환자중，1례경동맥해면두루분별오진위외전신경마비화광첨부염성가류；1례광첨부염성가류조기진단위광상신경통；1례루낭암안루도조새문진장기치료；1례광봉와직염치유후복사CT발현유점액낭종。결론 안광병섭급범위착종복잡，상세지순문병사화검사，양성체정적자세분석，영상학적합리이용，장회대대제고안광병진단적정학솔。
Objective To analysis the cause of misdiagnosed or missed diagnosis of orbital disease, which may facilitate to reach the correct diagnosis. Methods Eight sequence cases which were misdiagnosed or missed diagnosed in initial diagnosis in recent half year were collected. The initial and final diagnosis was analyzed. Results In 4 cases, 1 cases of CCF was misdiagnosed as abducens paralysis or orbital pseudotumor, 1 case of orbital apex pseudotumor was misdiagnosed as supraorbital neuralgia, 1 case of lacrimal sac carcinoma was misdiagnosed as obstruction of lacrimal duct, The maxillary sinus mucocele was revealed after orbital cellulitis cured and revised by CT. Conclusions Orbital diseases are complex in its locations, inquiried on the detailed case history and complete inspection thoroughly, analyzing the positive signs carefully, combined with imaging examination properly, can we improve the rate of correct diagnosis in the orbital diseases.