摘要
目的分析3．0TMRI动态增强扫描在鼻咽癌诊断及分期中的临床价值。方法选择2015年6月-2016年1月在我院诊断的120例鼻咽癌患者进行研究。所有患者分别进行CT和MRI检查。比较CT和MRI动态增强扫描检测局部／区域病灶范围情况和对TMN分期情况。结果MRI动态增强扫描在口咽、鼻腔、茎突前间隙、咽后淋巴结、鼻窦、颅底、喉咽部、颞下窝、颈椎方面的显示强度均优于CT扫描，两种诊断方法在检测局部／区域病灶发面差异显著（P〈0．05）。MRI动态增强扫描在T2、T3、T4、N2分期上的比例明显高于CT扫描，两组患者差异具有统计学意义（P〈0．05）。结论3．0TMRI动态增强扫描相比传统CT扫描，诊断部位明确，对TNM分期准确率提高。
Objective To analyze the clinical value of dynamic enhanced 3.0TMRI scanning in the diagnosis and staging of nasopharyngeal carcinoma. Methods From January 2016 to June 2015, 120 patients with nasopharyn- geal carcinoma in our hospital were studied. CT and MRI examinations were performed in all patients. The value of CT and MRI in detecting the local/regional lesion range and staging the TMN was compared. Results The display ef- fect of MRI Dynamic Enhanced Scanning in the oropharynx and nasal cavity, the gap in front of the styloid process, retropharyngeal lymph node, paranasal sinuses and skull base, hypopharynx, temporal fossa, cervical vertebrate was superior to CT scanning. The differences between the two diagnosis method were significant （P〈 0.05） . The proportion of MRI dynamic enhanced scan in staging T2, T3, T4 and N2 was significantly higher than that of CT scan, and the difference was statistically significant （P〈 0.05） . Conclusion Compared with the tradition- al CT scanning, the 3.0TMRI dynamic contrast enhanced scanning can diagnose the lesion site clearly, and improve the accuracy rate of TNM staging.
出处
《中国医学文摘（耳鼻咽喉科学）》
2016年第3期130-132,共3页
Chinese Medical Digest(Otorhinolaryngology)
基金
甘肃省卫生行业科研计划管理项目(GWGL2014-35)
关键词
磁共振成像
动态增强
鼻咽癌
诊断
Magnetic Resonance Imaging
Dynamic En-hancement
Nasopharyngeal Carcinoma
Diagnosis
