论文部分内容阅读
上颌窦肉芽肿病变及其结核感染均属罕见,迄今为止世界文献上报道的仅共42例。本文报道一例4岁女孩,左侧面颊部进行性无痛的肿胀一月,无发热、喉痛、流涕、鼻衄、牙齿感染及面部外伤病史。局部检查:左侧面颊部肿胀向鼻外侧壁及颧部扩展,肿胀固定、坚硬似骨,无压痛,表面皮肤正常。二侧颌下淋巴结可扪及,眼及耳鼻咽喉和鼻咽部正常。头部侧位片示左上颌骨外侧壁密度增加,胸片示肺门突出阴影和左、右上肺实变及Koch氏病损。血沉56mm/1小时。在全麻下行柯-陆氏手术,探查见左上颌窦含很少脓液,吸出并作培养,上颌窦前外侧骨壁呈软海绵状,质脆。取除并送病理检查,给予抗痨治疗。
Maxillary sinus granuloma lesions and tuberculosis are rare, so far only 42 cases reported in the world literature. This article reports a 4-year-old girl with a painless swelling of the left cheek in January with no history of fever, sore throat, runny nose, epistaxis, tooth infections and facial injuries. Local examination: swelling of the left cheek swelling to the lateral wall of the nose and zygomatic, swelling fixed, hard bone-like, no tenderness, the surface of the skin is normal. Two submandibular lymph nodes palpable, eyes and nose and throat and nasopharynx normal. The lateral flanks of the head showed an increase in the density of the lateral wall of the left maxilla, the shadow of the hilar and the left and right upper lung and Koch’s lesions. ESR 56mm / 1 hour. Under general anesthesia Ke - Lu surgery, exploration, see the left maxillary sinus with little pus, aspiration and culture, the anterior wall of the maxillary sinus soft cavernous, brittle. Remove and send pathological examination, given anti-tuberculosis treatment.