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病历资料患者,女,15岁,因喷嚏,流涕,头痛1年余,于2010年12月5日来我院初诊。当时查体:心肺听诊未见异常,双侧中鼻道均有脓性分泌物。副鼻窦CT检查:双侧蝶骨、筛骨呈毛玻璃样膨胀性改变,骨皮质变薄。双侧蝶窦、筛窦、额窦窦腔部分封闭,局部亦见黏膜肥厚。故考虑诊断为双侧蝶骨、筛骨骨纤维异常增殖症。3天后耳鼻喉科鼻窦内镜取组织活检病理证实。
Patient information, female, 15 years old, due to sneezing, runny nose, headache more than 1 year, in December 5, 2010 to our hospital. At that time physical examination: Cardiopulmonary auscultation no abnormalities, both sides of the nasal passages purulent secretions. Paranasal sinuses CT examination: bilateral sphenoid bone, ethmoid bone was frosted glass-like swelling changes, cortical bone thinning. Bilateral sphenoid sinus, ethmoid sinus, frontal sinus sinus partially closed, see also mucosal hypertrophy locally. Therefore, consider the diagnosis of bilateral sphenoid, ethmoid fibrous dysplasia. 3 days after otolaryngology endoscopic sinus biopsy biopsy confirmed.