筛骨垂直板气化合并囊肿感染的临床诊断和治疗分析

A clinical diagnosis and treatment of ethmoid bone gasification in company with infection

目的:针对临床罕见的筛骨垂直板(亦称筛骨正中板)气化合并囊肿感染的患者,探讨该疾病的临床特点和治疗方法。方法:2000-2009年间中国医科大学附属第一医院耳鼻咽喉-头颈外科收治的4例儿童筛骨垂直板囊肿患者,回顾分析其症状,CT影像学检查,病理回报及临床治疗过程。结论:筛骨的畸形发育带来的解剖学及病理学紊乱,最终会导致筛骨气化合并囊肿感染。其气化的程度和大小决定了该病的临床症状和治疗方式。结论:CT检查在该疾病的诊断中起到重要作用,通常情况下应采用损伤小且有效的鼻内镜介入手术治疗。术后定期复查可防止复发并提供长期疗效观察。

Objective：To explore a rare anatomic malformation of ethmoid and its clinical features,as well as an effective way of treatment.Method： Four cases from 2000-2009 of the first affiliated hospital of china medical university were studied according to the symptom,CT scanning,pathological examination and treatment process,respectively.Result：Ethmoid bone gasification complicated with infection resulted in a rare anatomic and pathological disorder.The symptom and treatment were largely dependent on the size of gasification and degree of infection.Conclusion： CT Scanning plays a critical role in the diagnosis.In most case,a surgical treatment under endoscope is generally applied as a suitable way for clinical therapy.The regular reexamination is recommended for preventing recurrence.