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患者女,20岁。右眼逐渐突出8月余入院。检查:右眼视力1.2(J_1/30cm),右眼球向前外侧突出,突出度右21mm,左15mm,眶距102mm。在内眦部眶内可触及一质硬肿块,约1.5cm×1cm,边界清,不活动,无压痛,眼球活动良好,眼底视盘边界不清,未见隆起,网膜未见异常。眼眶X线摄片示右眼眶内侧壁、筛窦壁可见类圆形密度增高影,不均匀,直径约3cm,额窦下壁受压呈切迹状改变。诊断为右眼眶内侧壁、筛窦壁骨化性纤维骨瘤(首
The patient is 20 years old. The right eye gradually became more than eight months admitted to the hospital. Examination: Right eye vision 1.2 (J_1/30cm), the right eye ball protrudes forward and outward, the right eye protrusion is 21mm, the left eyelash is 15mm, and the jaw distance is 102mm. In the internal malleolus can touch a hard mass, about 1.5cm × 1cm, border clear, inactive, no tenderness, good eye movements, unclear eye fundus border, no bulge, no abnormal omentum. The eyelid X-ray film showed that the density of the round of the right eye orbital wall, the ethmoid sinus wall shows a similar increase in the shape of a round, uneven, about 3cm in diameter, the frontal sinus pressure was changed in a notch-like manner. Diagnosis of the right orbit orbital wall and ethmoid ossification wall ossification fibroma