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筛窦骨瘤是临床上少见的良性肿瘤,而筛窦蝶形骨瘤则更为少见。我院收治一例,采用双侧鼻切开手术途径摘除,取得良好效果。患者章某,男,48罗,于3个月前发现右眶内侧缘有一圆形硬性肿块,后又发现左侧鼻根部肿起,曾在当地医院诊断为“额窦囊肿”。1987年5月初来我院就诊,右眼视力为1.0,眼球活动正常,眼底正常,鼻根部增宽,右眼内眦部扪及直径为1cm的硬性肿块,与皮肤无粘连,也无红肿和压痛,鼻腔粘膜正常,鼻甲肿大。鼻窦X线片示见双侧筛窦区有一巨大致密骨瘤,以右侧较多,向上达额窦底部,向后涉及后组筛窦,鸡冠完整。拟诊为筛窦骨瘤。(图1,2,见封三)。
Ethmoid sinus tumor is a rare clinical benign tumor, and ethmoid sinus osteoma is even more rare. A case of our hospital, using bilateral nasal dissection removed, and achieved good results. Patient Zhang, male, 48 Luo, found in 3 months ago a right side of the medial margin of a circular rigid mass, and then found that the left nasal swollen, had a local hospital diagnosis of “frontal sinus cyst.” Early May 1987 to our hospital, right eye vision was 1.0, eye activity was normal, normal fundus, nasal root widening, palpable within the right eye Department of a diameter of 1cm hard mass, no adhesion with the skin, and no redness and Tenderness, normal nasal mucosa, turbinate swollen. Sinus X-ray film showed a large double-sided ethmoid sinus dense tumor to the right more, up to the front of the frontal sinus, posterior ethmoid sinus involved, the integrity of the cockscomb. To be diagnosed as ethmoid sinus tumor. (Figure 1,2, see cover three).