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頁籤選單縮合
題名 | 蝶竇結核病=Sphenoid Sinus Tuberculosis |
---|---|
作者姓名(中文) | 謝國斌; 方深毅; |
作者姓名(外文) | Hsieh, Kuo-pin; Fang, Sheen-yie; |
書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷期 | 47:2 2012.04-06[民101.04-06] |
頁次 | 頁157-160 |
分類號 | 415.2773 |
語文 | chi |
關鍵詞 | 蝶竇; 結核; Sphenoid sinus; Tuberculosis; |
中文摘要 | 近20年來結核病的發生率似乎又成為公共衛生上的問題,其中肺結核較常見,鼻結核較少見,而鼻竇結核就更少見了。由於其症狀屬非特異性,造成不易正確診斷。我們提出一個病例,1名42歲的男性,主訴右眼眼瞼下垂接近3個月,經鼻竇內視鏡手術將右側蝶竇內病灶移除後,病理報告顯示為壞死性肉芽腫性發炎。術後兩週後,病患之右眼症狀已完全恢復。病患目前正接受抗結核藥物治療中,追蹤其蝶竇病灶,至今已達半年,無復發跡象。 |
英文摘要 | During the past 2 decades, tuberculosis has remerged as a major public health problem. Pulmonary tuberculosis is common; nasal tuberculosis is rare, tuberculosis of paranasal sinuses is much rarer. Non-specific symptoms are the stumbling block for clinical diagnosis. Here, we present a 42 yr old man, who presented with right eye ptosis for about 3 months. Endoscopic sinus surgery was performed to remove right sphenoid sinus lesion. The pathological report showed necrotizing granulomatous inflammation. Two weeks after surgery, his right eye symptom was recovered. The patient was commenced on antituberculosis medication and experienced steady improvement. No recurrence is noted till now after 6 months follow-up. |
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