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鼻硬结病能侵犯邻近组织甚至骨质。据作者所知,由此病引起表现为眶尖损害的本例是第一例。患者系一女性、42岁的糖尿病人,眼科检查双眼1°糖尿病视网膜病变。入院后2周,患者左侧视力进行性下降,上睑下垂,眼球突出度为23mm,并伴有第Ⅲ、Ⅳ、Ⅵ脑神经麻痹,视力下降到仅有光感。耳鼻喉检查左中道有腐肉,无上颌窦腔扩大和眶下缘钝化。鼻窦X线检查显示左上颌窦密度增高。Caldwel1 Luc氏探查术中发现左上颌窦前壁犬齿窝处骨质破坏,窦腔内充满苍白的肉芽组织并延伸到筛窦和眶尖。逐块予以切除,但眶尖处仍有肿块残留。病理检查
Nasal sclerosis can invade adjacent tissues and even bone. According to the author’s knowledge, this case is the first case in which this disease causes orbital apex damage. The patient was a woman, 42-year-old with diabetes and ophthalmological examination of 1 ° diabetic retinopathy. Two weeks after admission, the left visual acuity of the patients decreased progressively, the ptosis of the left eye and the protrusion of the eyeball were 23mm, accompanied by paralysis of the nerves Ⅲ, Ⅳ and Ⅵ, and the visual acuity decreased only to the light sensation. ENT examination of the left middle carcass, no maxillary sinus cavity expansion and infraorbital margin passivation. Sinus X-ray examination showed increased density of the left maxillary sinus. Caldwel1 Luc’s exploration found in the anterior wall of the left maxillary canine fossa bone destruction, the sinus cavity filled with pale granulation tissue and extends to the ethmoid sinus and orbital apex. Block by block to be removed, but there are still residual orbital apex. Pathological examination