慢性蝶窦炎

蝶窦炎因其特殊的解剖部位及无独特临床症状，往往被临床医师忽视，以往报道少。本组分析了５８例蝶窦炎，其特异的临床症状不明显，由于ＣＴ、ＭＲＩ和鼻内窥镜的广泛应用，使本病诊断已不困难。鼻内窥镜下的手术处理，患者痛苦少，操作简单。本组大部分病例（５３例）为继发于鼻腔及筛窦病变的蝶筛窦炎，孤立性蝶窦炎５例，在临床上比较少见。

Chronic Sphenoid Sinusitis

Sphenoid sinusitis is often ignored by doctors,for the sphenoid sinuses are The most ne glected paranasal sinuses and sphenoid slnusitis lacks specific symptoms;58 cases of sphenoid sinusitis were reported in this article, The specific clinical symptoms remain to be deficient.At present, comput-erized tomography ,MRI and telescope help to make accurate evaluation of sphenoid sinus diseases.The endoscopic intranasal surgery for sphenoid sinusitis enables the complicated surgical procedures simple. In our series, most cases(53)are sphenoethmoid sinusitis. The isolated sphenoid sinusitis is rare in cini-