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題名 | 孤立性蝶竇炎=Isolated Sphenoid Sinusitis |
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作者 | 廖庭毅; 李明謙; 黃仲鋒; 吳哲民; 蘇志英; Liao, Ting-yi; Lee, Ming-chian; Hwang, Chung-feng; Wu, Che-min; Su, Chih-ying; |
期刊 | 中華民國耳鼻喉科醫學會雜誌 |
出版日期 | 19980200 |
卷期 | 33:1 1998.02[民87.02] |
頁次 | 頁37-43 |
分類號 | 416.854 |
語文 | chi |
關鍵詞 | 孤立性蝶竇炎; 頭痛; 蝶竇內視鏡切開術; Isolated sphenoid sinusitis; Headache; Endoscopic sphenoidotomy; |
中文摘要 | 背景:孤立性蝶竇炎雖為臨床上少見之疾病,卻具有潛在致命性。 其發病症狀常 不明顯且變異性大,故不易早期診斷。本文試將高雄長庚醫院 10 年來罹患孤立性蝶竇炎的 病例,作一概略的整理分析,並參考文獻,探討孤立性蝶竇炎之診斷及治療趨勢。 方法:自 1986 年至 1997 年間,本科共經歷 16 例臨床診斷為孤立性蝶竇炎病例。本報告 擬此 16 例,針對其臨床症狀、全身系統性疾病、治療病程和預後,作一分析比較。 結果:我們發現頭痛可能常是此病早期的唯一症狀,多數患者之症狀可由積極手術治療而改 善或痊癒。 結論:蝶竇內視鏡切開術是有效且安全的手術方式。但有免疫缺陷疾病者,容易併發眼窩和 顱內合併症,預後較差。因此對於孤立性蝶竇炎的可能性要保持警覺,才能早期診斷、早期 治療。 |
英文摘要 | Backgrounds: Isolated sphenoid sinusitis is an uncommon disease. Because of the vague symptoms of this disease, it is usually difficult to be diagnosed early. Any delay in treatment may result in serious and potentially life-threatening complications. Methods: From 1986 to 1997, we came across 16 cases of isolated sphenoid sinusitis. In this report, we retrospectively reviewed and analysed the charts of these patients and summarized the clinical manifestations, concomitant systemic diseases, results of the bacterial cultures, surgical methods, therapeutic courses and results. Results: In this series, heardache was found to be the most common symptom and could be the sole initial complaint of the patients. Most of the patients recovered if early diagnosis was made and aggressive surgery performed. Conclusions: At present, endoscopic sphenoidotomy is the mainstay of treatment for isolated sphenoid sinusitis. However, the patients who were immune-compromised has poorer prognosis because of potential orbital and intracranial complications. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。