基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2013年
35期
4652-4653
,共2页
何卿琳%贺永法%王星亮%靳阳子
何卿琳%賀永法%王星亮%靳暘子
하경림%하영법%왕성량%근양자
鼻窦炎%眼眶%鼻窦肿瘤%CT
鼻竇炎%眼眶%鼻竇腫瘤%CT
비두염%안광%비두종류%CT
Nasal Sinuses%Orbit%Malignant tumor%Computerized tomography
目的:探讨鼻眼相关疾病的诊断和治疗,以降低其误诊、漏诊的发生率。方法对我院2003年1月-2013年1月32例鼻眼相关疾病患者进行回顾性分析。结果32例鼻眼相关疾病患者中,9例首诊于眼科,23例以鼻塞、头痛、鼻部创伤等症状首诊于耳鼻咽喉科。29例治愈或好转,3例恶性肿瘤,2例突眼、复视、溢泪等症状减轻,1例症状未见好转。结论鼻眼相关疾病临床上属于眼科学与耳鼻咽喉科学的交叉疾病,临床医师对该病认识不足易致误诊、漏诊;临床工作中,CT对鼻眼相关疾病的早期诊断、指导临床治疗及观察预后均有很大帮助。
目的:探討鼻眼相關疾病的診斷和治療,以降低其誤診、漏診的髮生率。方法對我院2003年1月-2013年1月32例鼻眼相關疾病患者進行迴顧性分析。結果32例鼻眼相關疾病患者中,9例首診于眼科,23例以鼻塞、頭痛、鼻部創傷等癥狀首診于耳鼻嚥喉科。29例治愈或好轉,3例噁性腫瘤,2例突眼、複視、溢淚等癥狀減輕,1例癥狀未見好轉。結論鼻眼相關疾病臨床上屬于眼科學與耳鼻嚥喉科學的交扠疾病,臨床醫師對該病認識不足易緻誤診、漏診;臨床工作中,CT對鼻眼相關疾病的早期診斷、指導臨床治療及觀察預後均有很大幫助。
목적:탐토비안상관질병적진단화치료,이강저기오진、루진적발생솔。방법대아원2003년1월-2013년1월32례비안상관질병환자진행회고성분석。결과32례비안상관질병환자중,9례수진우안과,23례이비새、두통、비부창상등증상수진우이비인후과。29례치유혹호전,3례악성종류,2례돌안、복시、일루등증상감경,1례증상미견호전。결론비안상관질병림상상속우안과학여이비인후과학적교차질병,림상의사대해병인식불족역치오진、루진;림상공작중,CT대비안상관질병적조기진단、지도림상치료급관찰예후균유흔대방조。
Objective To investigate the diagnosis and the treatment of naso-orbit related diseases ,to reduce misdiagnosis and missed diagnosis rate. Methods Twenty-eight patients with naso-orbit related diseases in our hospital from January 2003 to January 2013 were retrospectively analyzed. Of the 32 cases, rhinogeous orbital phlegmon was found in 6,traumatic naso-orbital fracture in 5,mucocele of nasal sinus in 15, inverting papilloma of nasal cavity and nasal sinus in 3, and malignant tumor in 11. Results Among the 32 cases,9 were consulted with ophthalmologist at fist;23 had their symptoms mainly confined to nose and were initially consulted with ENT. Conclusion Nosal and orbital organs are closely related anatomically. Imaging investigations are important in diagnosis of naso-orbital related diseases. CT is helpful for early diagnosis,clinic treatment and observing.