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目的:通过对213例单侧鼻腔鼻窦占位性病变的回顾性分析,研究该类病变的临床诊断及其误诊情况,为临床医生对此类患者的诊断和治疗提供参考。方法:结合近年来相关文献,通过对213例单侧鼻腔鼻窦占位性病变患者的诊断及误诊资料作临床分析,对被误诊患者的临床表现、影像学检查、病理作回顾性研究。结果:213例患者中,鼻息肉65例,鼻窦囊肿66例,真菌性鼻窦炎20例,良性肿瘤31例,恶性肿瘤28例,鼻腔异物3例;左侧鼻腔鼻窦116例,右侧鼻腔鼻窦97例。误诊情况:213例中,将恶性肿瘤误诊为鼻息肉12例,误诊率5.63%;鼻腔异物误诊为鼻窦炎2例,误诊率0.94%;内翻性乳头状瘤误诊为鼻息肉6例,误诊率8.45%;真菌性鼻窦炎误诊为化脓性鼻窦炎5例,误诊率2.35%;鼻窦囊肿误诊为鼻窦炎8例,误诊率3.75%。结论:详询病史,仔细专科检查,包括鼻内镜、鼻窦三维CT、鼻窦三维MRI及活组织病理检查等对判断该类病变的部位和性质至关重要,有助于早期诊治,并减少误诊误治。
Objective: To retrospectively analyze 213 cases of unilateral nasal sinus space-occupying lesions to study the clinical diagnosis and misdiagnosis of such lesions, and to provide reference for the clinicians to diagnose and treat these patients. Methods: According to the related literatures in recent years, we retrospectively analyzed the clinical manifestations, imaging findings and pathology of 213 misdiagnosed patients through the diagnosis and misdiagnosis data of 213 patients with unilateral nasal sinusoids space-occupying lesions. Results: Among the 213 patients, 65 cases were nasal polyps, 66 cases were sinus cysts, 20 cases were fungal sinusitis, 31 cases were benign tumors, 28 cases were malignant tumors and 3 cases were nasal foreign bodies. There were 116 cases of left nasal sinus and right nasal sinus 97 cases. Misdiagnosis: In 213 cases, misdiagnosed as malignant tumors in 12 cases of nasal polyps, misdiagnosis rate was 5.63%; nasal foreign body misdiagnosed as sinusitis in 2 cases, misdiagnosis rate was 0.94%; inverted papilloma misdiagnosed as nasal polyps in 6 cases, misdiagnosed Rate of 8.45%; fungal sinusitis misdiagnosed as purulent sinusitis in 5 cases, misdiagnosis rate was 2.35%; sinus cyst misdiagnosed as sinusitis in 8 cases, the misdiagnosis rate was 3.75%. Conclusion: Detailed medical history, careful examination, including endoscopic sinus, sinus CT, sinus 3D biopsy and biopsy are important for judging the location and nature of these lesions, which will help early diagnosis and treatment and reduce the misdiagnosis Wrong treatment.