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目的探讨鼻窦肿瘤致眼球突出的临床特征。方法分析45例患者的临床资料。结果良性肿瘤39例,其中筛窦20例(51.3%),额窦11例(28.2%),蝶窦2例(5.1%),上颌窦6例(15.4%),恶性肿瘤6例全部位于上颌窦(100%)。鼻窦肿物的病理检查结果:良性肿瘤共39例,其中粘液囊肿28例,鳞状细胞癌6例,纤维血管瘤2例,乳头状瘤7例,骨瘤2例。恶性肿瘤6例。结论导致单眼突出的病因颇为复杂,如遇到单眼突出患者,应根据临床特点全面分析,常规行鼻科检查和鼻窦X线检查。根据CT值区分肿瘤为囊性或实性;对视力下降、视野缺损的患者眼科查不出病因,应警惕后组鼻窦肿瘤的发生,要及时请耳鼻喉科会诊减少误诊的发生。
Objective To explore the clinical features of the prominence of the eye caused by sinus tumors. Methods Clinical data of 45 patients were analyzed. Results There were 39 cases of benign tumors including 20 cases of ethmoid sinus (11.3%), 11 cases of frontal sinus (28.2%), 2 cases of sphenoid sinus (5.1%), 6 cases of maxillary sinus (6 cases) Sinus (100%). Pathological examination results of sinus tumor: There were 39 benign tumors, of which 28 were mucinous cysts, 6 were squamous cell carcinomas, 2 were hemangiomas, 7 were papillomas and 2 were osteomas. Six cases of malignant tumors. Conclusions The etiology of monocular prominence is quite complicated. In case of monocular prominence, we should conduct a comprehensive analysis based on the clinical features, perform routine nasal examination and sinus X-ray examination. According to the CT value of the tumor is cystic or solid distinction; vision loss, visual field defects in patients with ophthalmology can not find the cause, should be alert to the occurrence of sinusitis in the latter group, to promptly ENT consultation to reduce the occurrence of misdiagnosis.