摘要
目的:探讨乙状窦憩室致搏动性耳鸣的解剖学、影像学特点以及手术治疗效果。方法:回顾性分析2例乙状窦憩室致搏动性耳鸣患者的诊断、临床及影像学表现、治疗及预后。结果:2例患者均有单侧的乙状窦骨壁局部骨质缺损,均发生于前壁,其中1例乙状窦软组织疝入乳突气房。2例患者均进行乙状窦壁重建术。术后症状基本完全缓解无复发。结论:乙状窦局部骨质缺损或乙状窦憩室形成是形成搏动性耳鸣的原因之一,影像检查可以明确诊断。手术行乙状窦壁重建可得到满意的治疗效果。
Objective:To describe the anatomy,radiographic manifestation, and surgical treatment of pulsatile tinnitus due to sigmoid sinus diverticulum. Method:The retrospectively study of diagnosis, clinical and radiographic manifestations,and surgical treatment of 2 cases of pulsatile tinnitus caused by sigmoid sinus diverticulum was car ried out. Result:Bony defect was found in the anterior sigmoid wall in both cases, and one of them was combined with invasion of soft tissues in mastoid cells. Both of them undertook a surgery to reconstruct sinus wall and re- ceived a satisfactory results. Conclution: Sigmoid sinus diverticulum is one of causes which lead to pulsatile tinni- tus. It can be identified by imaging examination and can be cured by sinus wall reconstruction.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2013年第19期1088-1090,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
搏动性耳鸣
乙状窦憩室
血管栓塞
乙状窦壁重建
pulsetile tinnitus,sigmoid sinus divcrticulum,vascular embolization, sinus wall reconstruction