茎突综合征37例临床误诊分析
作者简介:

何庆维,Email:goodlucklan@126.com


Analysis on misdiagnosis of styloid process syndrome in 37 cases
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    摘要:

    目的探讨茎突综合征误诊误治相关因素及其临床疗效。方法回顾性分析37例茎突综合征的临床资料,其中包括疾病的误诊原因、诊断方法、治疗手段及治疗效果。37例患者均在气管插管全麻下手术治疗,其中28例采用经口内径路茎突部分截断术,另9例经颈外耳垂后径路茎突部分截断术。结果所有患者随访6个月至2年,痊愈32例,有效3例,无效2例。结论茎突综合征的临床症状及表现具有多样性和多变性,且此疾病与毗邻器官发病特点有相似性,容易导致误诊误治。所以充分了解和掌握茎突综合征的临床特点、必要的检查、诊断以及手术方式的选择对治疗此病非常重要。

    Abstract:

    ObjectiveTo explore the related factors causing misdiagnosis of styloid process syndrome and to study the clinical efficacy of this syndrome.MethodsClinical data including causes of misdiagnosis, diagnostic method, treatment and therapeutic effect of 37 patients suffering from styloid process syndrome were analyzed retrospectively. All patients received partial resection of styloid process under general anesthesia. Of all the 37 cases, the resection was performed via oropharyngeal approach in 28 and external cervical approach in 9. ResultsAll the patients had been followed up for 6 months to 2 years postoperatively. As for the therapeutic effect, 32 cases were cured, 3 cases were effective and 2 were ineffective.ConclusionsDue to the diversity and variability of clinical manifestations, in addition to their similarities to those of adjacent organs, styloid process syndrome is likely to be misdiagnosed. Full understand of the clinical features of styloid process syndrome, relevant or necessary inspections, proper choice of surgical procedure are very important for the diagnosis and treatment of this disease.

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何庆维,蓝建平,赵海亮,邱书奇.茎突综合征37例临床误诊分析[J].中国耳鼻咽喉颅底外科杂志,2017,23(1):75-77

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  • 在线发布日期: 2017-02-28
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