摘要
目的:回顾性总结真菌性鼻窦炎CT影像表现,并结合临床,探讨CT检查对诊断真菌性鼻窦炎的临床价值。方法:26例患者均采用骨窗和软组织窗鼻窦CT扫描,确诊为真菌性鼻窦炎,根据患者的CT检查结果并结合临床资料,进行分析比较。结果:病变大部分只累及一侧上颌窦16例,小部分同时累及同侧鼻腔并伴有息肉7例,累及双侧上颌窦1例,筛窦、蝶窦单独发病各1例。病理检查均见菌丝、孢子。CT表现:病灶内斑点、条片样钙化23例,窦壁骨质增厚17例,窦腔缩小13例,骨壁破坏3例。结论:真菌性鼻窦炎具有较为典型的CT表现,并可清晰显示病变累及的范围,对临床的诊断和手术治疗有重要意义。
Objective： To summarize CT features images of fungal sinusitis, and combined with clinical, to explore the clinical value of CT scan in the diagnosis of fungal sinusitis.Method： 26 patients with bone and soft tissue window sinus CT scanning, confirmed the diagnosis of fungal sinusitis, according to CT examination of the patient＇s results combined with clinical data, analysis and comparison.Result： The lesions mostly involved maxillary sinus in 16 cases, a small part in the same side of the nasal cavity and accompanied by polyps in 7 cases, 1 cases of bilateral maxillary sinus, ethmoid sinus, sphenoid sinus disease with 1 cases in each individual.CT features ： Intralesional dot Strip calcification in 23 cases, sinus wall bone thickening in 17 cases, sinus cavity was reduced in 13 cases, bone destruction in 3 cases.Conclusion： The CT findings of funsal sinusitis is typical, and can clearly display the anatomic extent, is imoortant for diagnosis and treatment of clinical operation.
出处
《中外医学研究》
2014年第9期49-51,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
真菌
鼻窦炎
CT诊断
Fungus
Sinusitis
CT diagnosis
