摘要
目的:探讨单骨型蝶窦纤维结构不良的病因、临床表现、诊断及治疗。方法:对无症状的2例单骨型蝶窦的纤维结构不良患者采取姑息手术治疗及随访,并复习颅骨纤维结构不良相关文献。结果:经半年随访复查,病灶较手术后无加重。结论:颅骨纤维结构不良发病率低,症状缺乏特异性,误诊率较高;单独累及蝶窦而未出现症状者,临床更是罕见。影像学检查如CT和MRI可辅助诊断,但必须经组织病理学检查确诊。对无症状者可选择保守治疗;鼻内镜术既可以切除病变组织,又可以取病变组织明确诊断。对所有患者均应长期随访。
Objective： To study the etiopathogenisis, clinical features,diagnosis and treatments of monostotic fibrous dysplasia of the sphenoid sinus. Method： Two cases of monostotic fibrous dysplasia of the sphenoid sinus without any symptoms was reported with relevant literature review. Result： No aggravation was found after 6 months-follow-up. Conclusion： The cranial fibrous displasia has low incidence rate with non specific symptoms and high rate of misdiagnosis. The monostotic fibrous dysplasia of the sphenoid sinus without any symptom is rarely seen clinically. Imageologieal examination, for example, CT and MRI, is valuable for the diagnosis of this disease. The histopathological evidence is absolutely necessary to make definite diagnosis. The conservative treatment may be chosen for the asymptomatic cases. Nasal Endoscopic surgery can not only remove the diseased region but also make diagnosis. The long-term follow-up should be carried out in all of these patients.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2009年第23期1071-1073,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
纤维结构不良
蝶窦
fibrous dysplasia
sphenoid sinus
