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目的:探讨蝶窦恶性肿瘤的临床特点、治疗效果和误诊原因,以提高诊疗水平。方法:将我科1996~2005年间收治的18例蝶窦恶性肿瘤进行回顾性分析。结果:蝶窦恶性肿瘤以鼻咽癌浸润性为最多见,其次为脊索瘤和非霍奇金淋巴瘤,临床表现为头痛(78%)、视力改变(50%)、颅神经麻痹(39%)、回吸性涕血或鼻出血(11%);临床诊断误诊率达56%。结论:蝶窦恶性肿瘤的影像学诊断有一定局限性,应常规行鼻内镜检查。
Objective: To explore the clinical features, treatment and misdiagnosis of sphenoid sinus malignant tumors in order to improve the diagnosis and treatment. Methods: 18 cases of sphenoid sinus malignant tumors treated in our department from 1996 to 2005 were analyzed retrospectively. Results: Sphenoid sinus malignancies were the most common in nasopharyngeal carcinoma, followed by chordoma and non-Hodgkin’s lymphoma. The clinical manifestations were headache (78%), visual acuity (50%), cranial nerve palsy (39% ), Respirable nasal discharge or nosebleed (11%); clinical diagnosis misdiagnosis rate of 56%. Conclusion: Sphenoid sinus malignant tumor imaging has some limitations, routine endoscopic examination.