论文部分内容阅读
动脉瘤性骨囊肿是一种独特的损害,首先由Jaffe等于1942年进行描述。本病发生于颅骨者罕见。本文报告额骨动脉瘤性骨囊肿2例,其中1例合并妊娠。本例临床特点是妊娠期间囊肿体积生长加快,作者就此进行了讨论。例1,女,28岁。左额包块始发于首次妊娠期间,产后肿块停止生长。一年后第二次妊娠,肿块再次迅速增大,无外伤病史。入院检查:左额包块6cm×4cm×2cm大小。有触压痛,紧贴颅骨。神经学检查除左睑下垂外,均在正常范围。颅骨平片示左额一膨胀性肿块,局部骨缺损。左颈动脉造影显示左额占位性病变。围绕病灶行颅骨环形切除。囊肿未穿透硬膜,但已侵犯帽状腱膜,颅内部分压
Aneurysmal bone cysts are a unique lesion, described first by Jaffe et al. 1942. The disease occurs rarely in the skull. This article reports 2 cases of frontal aneurysm bone cysts, including 1 case with pregnancy. The clinical feature of this case is the increased volume growth of cysts during pregnancy, the authors discussed. Example 1, female, 28 years old. The left frontal mass starts during the first pregnancy and the postpartum mass stops growing. One year after the second pregnancy, the mass rapidly increased again and there was no history of trauma. Admission examination: left frontal mass 6cm × 4cm × 2cm size. Touching tenderness, close to the skull. Neurological examinations were normal except for left ptosis. Skull flat films show an inflated left mass, local bone defect. Left carotid angiography showed left frontal space-occupying lesions. Surgical resection of the skull around the lesion. The cyst does not penetrate the dura mater, but has violated the cap aponeurosis, intracranial partial pressure