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目的:提高鼻眼相关疾病的诊治水平。方法:对39例鼻眼相关疾病患者的临床资料进行回顾性分析。结果:39例中,7例无鼻部症状,9例以眼部症状为主首诊眼科,1例首诊神经内科。炎性病变的鼻眼病变沟通方式以眶壁骨质吸收破坏为主;良性肿瘤及粘液囊肿鼻眼病变的互侵方式以眶壁受压移位、骨吸收破坏为主;恶性肿瘤鼻眼病变的互侵方式以骨质破坏为主;外伤性鼻眶骨折均为鼻窦与眶壁共壁所致。结论:鼻窦与眼眶关系密切,CT扫描有助于此区域病变的早期诊断、指导治疗及观察预后;良性肿瘤以手术切除为主,恶性肿瘤应以手术+放疗等。
Objective: To improve the diagnosis and treatment of nasal-eye related diseases. Methods: The clinical data of 39 patients with nasal-ocular diseases were analyzed retrospectively. Results: Among the 39 cases, 7 had no nasal symptoms, 9 had ophthalmology mainly with ocular symptoms and 1 had first diagnosed neurological diseases. Inflammatory lesions of nasal ocular lesions to the orbital bone absorption and destruction of the main; benign tumor and mucocutaneous nasal lesions in the way of invasion of the orbital wall pressure shift, the main bone destruction; malignant nasal lesions The main mode of mutual invasion is bone destruction. Traumatic nasal orbital fractures are caused by the common wall of the sinus and the orbital wall. Conclusions: The relationship between sinus and orbit is close. CT scan can be helpful for the early diagnosis, treatment and prognosis of the lesions in this area. Surgical resection is the major cause of benign tumors. Surgery and radiotherapy should be performed on malignant tumors.