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本文分析组织细胞增生症X21例的诊治情况:局限型(骨骼嗜酸性肉芽肿)11例仅眶骨单灶受累,手术治疗预后良好;慢性播散型(H-S-C病)8例除眶骨受累外,尚有骨髓损害、皮肤损害、肝脾淋巴结肿大和尿崩症等全身改变,追踪6例有3例死亡;急性播散型(L-S病)2例无眶骨受累,均为全身损害,于病发2年内死亡。作者对组织细胞增生症X的临床分型、发病年龄、骨受累、眼球突出、全身病变及治疗和预后,作了重点讨论。
This article analyzes the diagnosis and treatment of X21 cases of histiocytosis: limited type (bone eosinophilic granuloma) in 11 cases only orbital bone involvement, surgical treatment of good prognosis; chronic disseminated (H-S-C disease) in 8 cases Orbital bone involvement, there are bone marrow damage, skin lesions, liver and spleen lymph nodes and diabetes insipidus and other systemic changes, 6 cases were followed up for 3 deaths; acute disseminated (L-S disease) 2 cases without orbital bone involvement, All are systemic damage, died within 2 years of onset. The author of histiocytosis X clinical classification, age of onset, bone involvement, prominence, systemic disease and treatment and prognosis, made a focused discussion.