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患者男,48岁。以间断性右侧头痛2周主诉于1997年9月3日入院。患者于8月中旬出现右侧头痛,呈间隙性闷胀痛,无明显规律,不伴鼻塞、流涕、突眼、复视及视力下降。鼻窦瓦氏位片示右侧筛窦密度增高影。鼻窦CT扫描发现右侧后组筛窦内2.0cm×1.5cm×1.5cm大小的密度增高影,与右侧眶纸板相接(见图1)。以右侧筛窦骨瘤收入院。9月9日在局麻下用鼻窦内窥镜(Stryker公司产)行右侧筛窦开放骨瘤摘除术。于后组筛窦内发现骨瘤。骨瘤骨质坚硬,蒂位于筛窦外侧壁与
Male patient, 48 years old. Intermittent right headache 2 weeks chief complaint was admitted on September 3, 1997. Patients in the middle of August appeared in the right headache, was intermittent boredom pain, no obvious rule, without nasal congestion, runny nose, exophthalmos, diplopia and decreased visual acuity. Vasodilative sinus films showed the right side of the ethmoid sinus increased density. Sinus CT scan revealed a density increase of 2.0 cm × 1.5 cm × 1.5 cm in the right posterior group of ethmoid sinus and connected to the right orbital cardboard (see Figure 1). To the right ethmoid sinus tumor income hospital. September 9 under local anesthesia with sinus endoscopy (Stryker company) line of right ethmoid open osteotomy. Found in the posterior ethmoid sinus tumor. Osteoid bone hard, pedunculated in the outer wall of the ethmoid sinus