论文部分内容阅读
患者,女,46岁。因右面部膨隆3个月于1997年3月21日收住院。患者3个月前无诱因地出现右面部肿胀,右鼻腔阻塞,2个月后症状加重,右面部阵发性剧痛,右上牙龈出血,无发热及及视力下降。检查见右面部隆起,触及一约6cm×5cm×5cm 的肿块,质韧,表面光滑,边界清。右鼻腔拥挤,下鼻甲与鼻中隔相抵,无新生物,牙齿松动,唇龈粘膜破溃,触之易出血,行右面部肿物穿刺抽出多量不凝血且压力较高,自破溃处取组织病检,诊断为动脉瘤性骨囊肿。CT 扫描示右上颌窦占位,内、外及前壁骨质破坏。全身及实验室检查结果均正常。3月26日在气管插管全麻下先行右颈外动脉结扎术,再行右面部肿物切除术。取右侧口内唇龈粘膜横切口,术中见上颌窦前壁及内壁骨质大部吸收,上颌窦内充满含有多个血窦的软组织,有包膜,牙槽骨吸收,彻底清除病变并去除牙齿。切除组织送病检报告同
Patient, female, 46 years old. Due to the right bulge 3 months in March 21, 1997 admitted to hospital. The patient developed swelling of the right facial area 3 months ago, the right nasal cavity blocked, symptoms worsen after 2 months, paroxysmal pain in the right side, bleeding from the upper right gums, no fever and decreased vision. Check see the right facial bulge, touched a about 6cm × 5cm × 5cm mass, tough, smooth surface, clear boundary. Right nasal congestion, inferior turbinate and nasal septum offset, no new life, loose teeth, lip gingival mucosa rupture, easy to touch the bleeding, the line of the right side of the tumor puncture out of a large amount of non-coagulation and high pressure, self-rupture at the organizational disease Check, diagnosed as aneurysmal bone cyst. CT scan shows the right maxillofacial occupancy, inside and outside the anterior wall and bone destruction. Body and laboratory tests were normal. March 26 in the first right tracheal intubation general anesthesia ligation of the right external carotid artery, and then the right side of the tumor resection. Take the right lip gingiva mucosa transverse incision, intraoperative see maxillary sinus wall and most of the absorption of the internal bone, the maxillary sinus filled with multiple sinusoids containing soft tissue, a capsule, alveolar bone absorption, complete removal of lesions and Remove the teeth. Excision of tissue sent to the same inspection report