山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (6): 4-6.doi: 10.6040/j.issn.1673-3770.0.2014.191

• 茎突综合征 • 上一篇    下一篇

茎突综合征114例误诊原因分析

孙秀梅1, 张庆泉2, 都基亮1   

  1. 1. 滨州医学院烟台附属医院耳鼻喉科, 山东 烟台 264000;
    2. 烟台毓璜顶医院耳鼻咽喉头颈外科, 山东 烟台 264000
  • 收稿日期:2014-06-05 发布日期:2014-12-16
  • 通讯作者: 张庆泉.E-mail: ytebhzqq@163.com E-mail:ytebhzqq@163.com
  • 作者简介:孙秀梅.E-mail: ythgyysxm@163.com

Reasons for misdiagnosis of styloid process syndrome in 114 cases

SUN Xiu-mei1, ZHANG Qing-quan2, DU Ji-liang1   

  1. 1. Department of Otorhinolaryngology, Yantai Hospital Affiliated to Binzhou Medical School, Yantai 264000, Shandong, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, Yantai Yuhuangding Hospital, Yantai 264000, Shandong, China
  • Received:2014-06-05 Published:2014-12-16

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摘要： 目的 探讨茎突综合征误诊误治原因,以提高其诊治水平.方法 回顾分析114例茎突综合征的病程、误诊疾病及手术治疗效果.结果 114例患者首诊均被诊断为其他疾病.诊断为慢性咽炎、慢性扁桃体炎、舌咽神经痛77例,占总数比例为67.5%,该组病例病程相对较短,为1~6个月,中位病程为2.5个月,茎突部分截短手术有效率高,为87.0%.诊断为焦虑症、更年期综合征、神经官能症14例,该组病例病程相对较长,中位病程分别为7、2、8年,手术治疗有效率较低,为50.0%.结论 茎突综合征临床症状具有多样性、与其他疾病交叉的特点,了解掌握此病特点有助于确诊,严格掌握手术指征有助于提高手术治疗效果.

关键词: 茎突综合征, 原因, 误诊

Abstract: Objective To explore the reasons for misdiagnosis of styloid process syndrome and to get proper diagnosis and treatment. Methods The clinical data of 114 cases of styloid process syndrome were retrospectively analyzed from the course of the disease, misdiagnosed diseases and surgical treatment effect. Results 114 cases were diagnosed as other diseases.There were 77 cases diagnosed as chronic pharyngitis, chronic tonsillitis and glossopharyngeal nerve pain, 67.5% of 114 cases; The duration of this group was relatively short, from 1 to 6 months, the median duration was 2.5 month; After partial removal of styloid process, 87.0% of them were cured. There were 14 cases diagnosed as anxiety disorders, menopause syndrome and neurosis; The duration of this group was relatively long with the median duration of 7, 2, and 8 years, and 50% of them were cured. Conclusion Styloid process syndrome has the characteristics of diversity and easily to be crossed with other diseases. Grasping the characteristics helps to get definite diagnosis. Strict control of 1 the indications of partial removal of styloid process helps to improve the effect of surgical treatment.

Key words: Styloid process syndrome, Reason, Misdiagnosis

中图分类号: 

  • R766
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