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患者,女,28岁.因头昏、右侧偏头痛5年,于1995年8月9日入院.鼻窦X线片示右上颌窦窦腔密度均匀一致增高,故行右上颌窦穿刺术,穿刺时无明显落空感.冲洗液为血性.CT片示右侧上颌窦腔较对侧小.窦腔内见分叶状密度增高影.骨窗示骨样密度.CT值283～480HU.肿块边缘见薄层骨皮质,上颌窦壁骨质未见异常改变.临床初步诊断:右上颌窦多发性骨瘤.于8月15日在局麻下行右上颌窦根治术,术中发现,右上颌窦几乎无腔隙.前上壁及内上壁骨质较厚.骨凿沿上颌窦内侧壁凿除质硬的骨瘤.骨瘤中央部为松质骨,质脆.上颌窦下壁有一牙齿状骨瘤,色白,表面光滑,质硬,约0.5cm×1.0cm×0.5cm,重0.40g.行右下鼻道对孔.术中顺利,术后经过良好,头痛缓解,面部肿胀消退,于8月23日出院.病理报告:右上颌窦增生的骨组织,骨小梁排列紊乱,纤维组织增生不明显.诊断为多发性骨瘤.
The patient, female, 28 years old due to dizziness, right migraine for 5 years, was admitted on August 9, 1995. Sinus X-ray showed the right maxillary sinus sinus cavity density uniform and consistent, so the right maxillary sinus puncture, puncture When no obvious sense of frustration flushing fluid is bloody.CT film showed the right side of the maxillary sinus cavity smaller than the contralateral.Curve cavity see the lobular density increased shadow bone bone like bone density.CT value 283 ~ 480HU. Mass edge See the thin cortical bone, the maxillary sinus wall bone no abnormal changes in clinical preliminary diagnosis: right maxillary sinus multiple osteoma. On August 15 under local anesthesia right maxillary sinus radical surgery, intraoperative findings, right maxillary sinus Almost no lacunar.And the former upper wall and the inner wall of the thick bone.Gulcus along the medial maxillary sinus chisel hard bone removal of bone.In the central part of osteoma cancellous bone, crisp.A lower wall of the maxillary sinus has a tooth Orthopedic tumor, color white, smooth surface, hard, about 0.5cm × 1.0cm × 0.5cm, weight 0.40g line right lower right nasal hole.Optimum surgery, after a good, headache relief, facial swelling subsided, Was discharged on August 23. Pathology report: Right maxillary sinus hyperplasia of bone tissue, trabecular arrangement disorder, fibrous tissue proliferation is not obvious. Diagnosis of multiple osteoma.