CAJ | 학술논문

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.
목적:탐토단골형접두섬유결구불량적병인、림상표현、진단급치료.방법:대무증상적2례단골형접두적섬유결구불량환자채취고식수술치료급수방,병복습로골섬유결구불량상관문헌.결과:경반년수방복사,병조교수술후무가중.결론:로골섬유결구불량발병솔저,증상결핍특이성,오진솔교고;단독루급접두이미출현증상자,림상경시한견.영상학검사여CT화MRI가보조진단,단필수경조직병이학검사학진.대무증상자가선택보수치료;비내경술기가이절제병변조직,우가이취병변조직명학진단.대소유환자균응장기수방.
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. Imageological 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.