临床误诊误治
臨床誤診誤治
림상오진오치
Clinical Misdiagnosis & Mistherapy
2015年
11期
40-42
,共3页
李红霞%李晓明%单珊%杨泽垠
李紅霞%李曉明%單珊%楊澤垠
리홍하%리효명%단산%양택은
纤维瘤,骨化性%颞骨%误诊%中耳炎
纖維瘤,骨化性%顳骨%誤診%中耳炎
섬유류,골화성%섭골%오진%중이염
Fibroma,ossifying%Temporal bone%Misdiagnosis%Otisis media
目的：总结颞骨骨化纤维瘤的临床特点、诊断及鉴别诊断措施,提高对其认识,减少误诊误治。方法回顾性分析我科收治的曾误诊为中耳炎的颞骨骨化纤维瘤1例的临床资料。结果患者因右耳疼痛伴听力下降2年余,耳鸣4个月以颞骨肿瘤收住入院。当地医院曾诊断为中耳炎,给予抗感染及糖皮质激素治疗15 d,症状改善不明显,入我院后结合病史、临床特征及医技检查结果,拟诊为颞骨占位性病变,行右侧颞骨部分切除、颞下窝肿物切除及带蒂颞肌瓣修复术,术后病理检查诊断为颞骨骨化纤维瘤。术后患者耳鸣消失,听力较前明显改善。结论颞骨骨化纤维瘤早期症状缺乏特异性,易漏诊误诊。加强对其认识、认真查体,并进行系统检查,可减少颞骨骨化纤维瘤误诊误治。
目的：總結顳骨骨化纖維瘤的臨床特點、診斷及鑒彆診斷措施,提高對其認識,減少誤診誤治。方法迴顧性分析我科收治的曾誤診為中耳炎的顳骨骨化纖維瘤1例的臨床資料。結果患者因右耳疼痛伴聽力下降2年餘,耳鳴4箇月以顳骨腫瘤收住入院。噹地醫院曾診斷為中耳炎,給予抗感染及糖皮質激素治療15 d,癥狀改善不明顯,入我院後結閤病史、臨床特徵及醫技檢查結果,擬診為顳骨佔位性病變,行右側顳骨部分切除、顳下窩腫物切除及帶蒂顳肌瓣脩複術,術後病理檢查診斷為顳骨骨化纖維瘤。術後患者耳鳴消失,聽力較前明顯改善。結論顳骨骨化纖維瘤早期癥狀缺乏特異性,易漏診誤診。加彊對其認識、認真查體,併進行繫統檢查,可減少顳骨骨化纖維瘤誤診誤治。
목적：총결섭골골화섬유류적림상특점、진단급감별진단조시,제고대기인식,감소오진오치。방법회고성분석아과수치적증오진위중이염적섭골골화섬유류1례적림상자료。결과환자인우이동통반은력하강2년여,이명4개월이섭골종류수주입원。당지의원증진단위중이염,급여항감염급당피질격소치료15 d,증상개선불명현,입아원후결합병사、림상특정급의기검사결과,의진위섭골점위성병변,행우측섭골부분절제、섭하와종물절제급대체섭기판수복술,술후병리검사진단위섭골골화섬유류。술후환자이명소실,은력교전명현개선。결론섭골골화섬유류조기증상결핍특이성,역루진오진。가강대기인식、인진사체,병진행계통검사,가감소섭골골화섬유류오진오치。
Objective To summarize the clinical features, diagnostic and differential diagnostic measures of ossifying fibroma of the temporal bone, analyze the cause of misdiagnose, improve the understanding of the disease, and avoid misdiag-nosis and mistreatment. Methods Retrospective analysis of the clinical data of a misdiagnosed case of ossifying fibroma of the temporal bone in our division was carried out. Results The patient was admitted for right ear pain associated with hearing loss for more than two years and tinnitus for four months. The patient had been diagnosed with otitis media in another local hospital. After 6 months of anti-infection and glucocorticoid treatment, improvement of symptoms was not significant. In our hospital, the patient was suspected as having lesions, combining with the history, clinical signs and medical examination. The right temporal bone resection, and infratemporal fossa tumor resection, temporalis muscle flap transfer for repair were per-formed. Postoperative pathology confirmed temporal bone ossifying fibroma. Postoperative hearing improved significantly and tinnitus disappeared. Conclusion The prophase clinical manifestations of temporal bone ossifying fibroma lack specificity and tend to be missed diagnosis and misdiagnosed. Improved awareness of temporal bone ossifying fibroma,careful examinations and system checks may reduce or avoid misdiagnosis and mistreatment of temporal bone ossifying fibroma.
