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目的 :提高对蝶窦囊肿的认识 ,以利于其诊断和治疗。方法 :回顾性分析蝶窦囊肿 47例 ,总结其发病趋势、临床表现、影像学特征及治疗效果。结果 :蝶窦囊肿最主要的临床症状为头痛 ,约占 6 4% ;其次为眼部症状 ,再次为鼻部症状。蝶窦囊肿最易累及视神经 ,影响患者视力 ,早期手术有利于视力的恢复。鼻内窥镜下蝶窦囊肿摘除术有损伤小 ,出血少 ,痛苦轻 ,手术时间短 ,安全 ,术后恢复快等优点。结论 :CT、MRI和鼻内窥镜的应用 ,提高了对蝶窦囊肿的诊断水平。鼻内窥镜下蝶窦囊肿摘除术是治疗蝶窦囊肿的优选术式 ,蝶窦囊肿致视力下降者 ,应尽早施行视神经减压术。
Objective: To improve the understanding of sphenoid sinus cyst in order to facilitate its diagnosis and treatment. Methods: Forty-seven cases of sphenoid sinus cyst were retrospectively analyzed, and their trends, clinical manifestations, imaging features and therapeutic effects were summarized. Results: The main clinical symptom of sphenoid sinus cyst was headache, accounting for 64%, followed by ocular symptoms and again nasal symptoms. Spinal sinus cyst most likely to affect the optic nerve, affecting patients with visual acuity, early surgery is conducive to the recovery of visual acuity. Nasal endoscopic sinus cyst extirpation has the advantages of less injury, less bleeding, less pain, shorter operation time, safety and quick postoperative recovery. Conclusion: The application of CT, MRI and nasal endoscopy improves the diagnosis of sphenoid cysts. Nasal endoscopic sinus cyst extirpation is the preferred surgical treatment of sphenoid sinus cysts, sphenoid cysts caused by decreased visual acuity, optic nerve decompression should be implemented as soon as possible.