中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2012年
4期
314-316
,共3页
于龙刚%李娜%姜彦%韩敏
于龍剛%李娜%薑彥%韓敏
우룡강%리나%강언%한민
鼻窦炎%眶疾病%儿童%急性病
鼻竇炎%眶疾病%兒童%急性病
비두염%광질병%인동%급성병
Sinusitis%Orbital diseases%Child%Acute disease
目的 探讨手术治疗儿童急性鼻窦炎合并严重眶并发症的疗效.方法 回顾性分析2010年11月至2011年7月连续收治的5例保守治疗无效后行鼻内镜手术治疗的儿童急性鼻窦炎眶并发症患儿的临床资料.结果 5例患儿中合并眶蜂窝织炎1例,眶骨膜下脓肿3例,眶内脓肿1例,患儿术后体温均恢复正常,眼部症状消失.复查CT或MRI见眶部及鼻部病变基本消失.结论 对于保守治疗无效的儿童急性鼻窦炎眶并发症病例应尽早行内镜鼻窦手术清除病灶,手术安全且疗效确切.
目的 探討手術治療兒童急性鼻竇炎閤併嚴重眶併髮癥的療效.方法 迴顧性分析2010年11月至2011年7月連續收治的5例保守治療無效後行鼻內鏡手術治療的兒童急性鼻竇炎眶併髮癥患兒的臨床資料.結果 5例患兒中閤併眶蜂窩織炎1例,眶骨膜下膿腫3例,眶內膿腫1例,患兒術後體溫均恢複正常,眼部癥狀消失.複查CT或MRI見眶部及鼻部病變基本消失.結論 對于保守治療無效的兒童急性鼻竇炎眶併髮癥病例應儘早行內鏡鼻竇手術清除病竈,手術安全且療效確切.
목적 탐토수술치료인동급성비두염합병엄중광병발증적료효.방법 회고성분석2010년11월지2011년7월련속수치적5례보수치료무효후행비내경수술치료적인동급성비두염광병발증환인적림상자료.결과 5례환인중합병광봉와직염1례,광골막하농종3례,광내농종1례,환인술후체온균회복정상,안부증상소실.복사CT혹MRI견광부급비부병변기본소실.결론 대우보수치료무효적인동급성비두염광병발증병례응진조행내경비두수술청제병조,수술안전차료효학절.
Objective To investigate the treatment outcome of surgical intervention for orbital complications of acute pediatric sinusitis. Methods Five children with orbital complications of acute sinusitis were retrospectively reviewed.The patients underwent pediatric endoscopic sinus surgery (PESS) after conservative treatment failed. Results There were 1 case with orbital cellulitis,3 cases with subperiosteal abscess and 1 case with orbital abscess.After operation,the body temperature in all 5 patients returned to normal and ocular symptoms disappeared.CT or MRI was rechecked after PESS.The imaging showed that the orbital and nasal lesions disappeared.Conclusions If conservative treatment fails,it is important to perform PESS for children with orbital complications of acute sinusitis to clean the focus of infection as soon as possible.The surgery is safe and effective.
