目的：探讨蝶窦病变的早期诊断和治疗方法。
Objective: To explore the early diagnosis and treatment for sphenoid sinusitis with endoscopic sinus surgery.
目的提高对孤立性蝶窦病变的临床诊断和治疗水平。
Objective To improve the diagnosis and treatment for isolated sphenoid sinus disease.
目的探讨鼻内镜下处理孤立性蝶窦病变的方法及疗效。
Objective To explore the operative method and the therapeutic effect of isolated sphenoid sinus diseases under endoscope.
结果蝶窦病变最主要的临床症状为头痛，鼻部症状并不典型。
Results the main clinical symptom of isolated sphenoid sinus disease was headache, and the nasal symptom was rarely typical.
结论蝶窦病变应常规行鼻内镜检查，鼻内镜手术是治疗蝶窦病变的优选术式。
Conclusions the nasal endoscopy is the convention examination for the patients with sphenoid sinus disease. Endoscopic sinus surgery is the optimal method for sphenoid sinus disease.
目的：探讨蝶窦病变临床表现、影像学和组织病理学特点及不同治疗方法的选择。
Objectives: to analyze the clinical manifestations, imaging and histopathologic features of sphenoidal sinus disease, as well as the choice of method of treatment.
结论：孤立性蝶窦病变并非罕见，但临床症状无特异性表现，医师对该病认识不足是导致误诊的主要原因。
Conclusion: the main causes of misdiagnosis were: low incidence of the disease, nonspecific clinical symptoms, and unawareness of the doctor.
柯-陆氏手术是本病的主要治疗选择，而鼻内窥镜手术在清理筛窦或蝶窦病变组织及术后窦腔护理有明显的优点。
FESS had obvious advantage, such as cleaning of affected tissue in ethmoid sinus or sphenoid sinus with mycosis, postoperative nursing of sinus cavity and so on.
目的：探讨鼻内镜下治疗蝶窦良性病变的疗效和手术体会。
Objective: To study the surgical experience of endoscopic sinus surgery for the patients with sphenoid sinus disease.
增强扫描清楚的显示病变在鼻腔内的延伸并且侵犯蝶窦和前颅窝（图4，红箭）。
Contrast clearly demonstrates the extent of the lesion within the nasal cavity and invasion of the ethmoidal sinus and anterior cranial fossa (red arrow in Figure 4).
相反，蝶窦的膨出是一种少见的病变。
In contrast, pneumocele of the sphenoid sinus is a rare lesion.
此病变累及蝶窦外侧壁，侵入右侧眶尖，表现为此处正常脂肪消失。
The lesioninvolves the lateral wall of the sphenoid sinus extending into the rightorbital apex, as demonstrated by loss of normal fat attenuation in thislocation.
蝶窦占位性病变是一类症状隐匿、临床相对罕见的疾病。
The space occupying lesion of sphenoid sinus is a relatively uncommon clinical entity with nonspecific clinical symptoms.
目的提高蝶窦鞍区非垂体源性占位性病变的诊断水平。
Objective To improve the diagnostic accuracy of non pituitary lesions in sphenoidal sinus and sellar area.
目的提高蝶窦鞍区非垂体源性占位性病变的诊断水平。
Objective To improve the diagnostic accuracy of non-pituitary lesions in sphenoidal sinus and sellar area.
目的探讨利用鼻内镜手术治疗蝶窦良性病变伴有鼻中隔偏曲的方法和体会。
To investigate the approach and experience of endoscopic surgery in sphenoid sinus occupying lesions associated with a deviated septum.
当病变累及蝶窦，可以经鼻内和后组筛窦进入蝶窦。
When disease involves the sphenoid, the sinus can be penetrated either intranasally or through the posterior ethmoid.
当病变累及蝶窦，可以经鼻内和后组筛窦进入蝶窦。
When disease involves the sphenoid, the sinus can be penetrated either intranasally or through the posterior ethmoid.
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