CAJ | 학술논문

目的探讨颅颌面骨纤维异常增殖症的诊断、治疗、效果及时机.方法回顾分析2002年2月至2012年6月收治的颅颌面骨纤维异常增殖症患者51例,均行骨纤维异常增生切除,治疗性视神经管开放减压术35例,预防性视神经减压术14例,单纯骨纤维异常增生切除2例.结果 51例患者术后均随访1～8年,平均5.2年,治疗性视神经减压有效率88％(31/35),预防性视神经减压术后视力均稳定在术前水平,无视力减退及明显副损伤.患者面容效果均改观明显.结论对于颅颌面骨纤维异常增殖症伴有视力下降急性病程的患者,建议立即进行手术；术前、术后眼动脉B超可有效评估预后；预防性视神经减压能获得较满意的临床效果.
목적 탐토로합면골섬유이상증식증적진단、치료、효과급시궤.방법 회고분석2002년2월지2012년6월수치적로합면골섬유이상증식증환자51례,균행골섬유이상증생절제,치료성시신경관개방감압술35례,예방성시신경감압술14례,단순골섬유이상증생절제2례.결과 51례환자술후균수방1～8년,평균5.2년,치료성시신경감압유효솔88％(31/35),예방성시신경감압술후시력균은정재술전수평,무시력감퇴급명현부손상.환자면용효과균개관명현.결론 대우로합면골섬유이상증식증반유시력하강급성병정적환자,건의립즉진행수술；술전、술후안동맥B초가유효평고예후；예방성시신경감압능획득교만의적림상효과.
Objective To investigate the diagnosis,treatment,effect and timing on the craniofacial fibrous dysplasia.Methods Retrospective analysis of 51 cases in our department from February 2002 to June 2012 for craniofacial fibrous dysplasia patients who underwent fibrous dysplasia resection,treatment of optic canal decompression in 35 cases of open,prevention of 13 cases on optic nerve decompression.Results 51 patients were followed up for 1-8 years,an average of 5.2 years,the treatment of optic nerve decompression efficiency is 88％ (31/35),prevention of decompression of optic nerve visual acuity was stable in the preoperative level,without loss of visual acuity and obvious injury.The effects of the patients were significantly changed.Conclusions The patients with craniofacial fibrous dysplasia associated with acute visual loss are suggested to underwent an immediate operation; ophthalmic artery B-mode uhrasonography can effectively evaluate prognosis after the surgery; prevention of optic nerve decompression can obtain satisfactory clinical effect.