摘要
目的:通过比较脑脊液鼻漏患者术前核磁共振水成像(MRH)、鼻窦冠状位CT判断的漏口位置与术中内镜所见漏口位置的一致性,评价MRH在术前漏口定位过程中的应用价值。方法:回顾性分析2015年2月-2021年2月天津市环湖医院收治的脑脊液鼻漏患者58例,采用鼻窦冠状位CT、MRH及MRH结合鼻窦冠状位CT这三种方法分别判断漏口位置,比较不同方法确定的漏口位置与术中漏口位置的一致性。结果:MRH结合鼻窦冠状位CT的诊断阳性率(91.4%)明显高于MRH阳性率(74.1%),差异有统计学意义(P<0.05)。MRH诊断阳性率(74.1%)高于常规鼻窦冠状位CT检查阳性率(43.1%),差异有统计学意义(P<0.01)。结论:影像学检查技术的综合运用对脑脊液鼻漏的正确诊断有着重要的临床指导意义,术前准确定位才能更有针对性地进行精确的修补手术治疗。MRH结合鼻窦冠状位CT可以明显提高漏口位置的诊断率,因此可以作为脑脊液鼻漏患者术前定位的首选方法。
Objective:To evaluate the application value of magnetic resonance hydrography in determine the leak location of patients with cerebrospinal fluid rhinorrhea.Methods:Clinical data of 58 patients with cerebrospinal fluid rhinorrhea treated in Tianjin Huanhu Hospital from February 2015 to February 2021 were analyzed retrospectively.The leak position was judged by three methods:nasal sinus coronal CT,magnetic resonance hydrography and magnetic resonance hydrography combined with nasal sinus coronal CT.The consistency of the leak position among groups determined by different imageological examination pre-operation was compared with the real leak position found during the operation.Results:The positive rate of magnetic resonance hydrography combined with coronal CT in paranasal sinuses(91.4%)was significantly higher than that of magnetic resonance hydrography(74.1%)(P>0.05).The positive rate of magnetic resonance hydrography(74.1%)was higher than that of CT(43.1%)(P>0.01).Conclusion:The comprehensive application of imaging examination technology has important clinical guiding significance for the correct diagnosis of cerebrospinal fluid rhinorrhea.Magnetic resonance hydrography combined with coronal CT of paranasal sinus can effectively find the leak location,which was suggested as the first choice for preoperative localization of cerebrospinal fluid rhinorrhea.
作者
张婷
卢醒
翟翔
ZHANG Ting;LU Xing;ZHAI Xiang(Department of Imaging,Tianjin Huanhu Hospital,Tianjin,300350,China;Department of Otolaryngology Head and Neck Surgery,Tianjin Huanhu Hospital)
出处
《临床耳鼻咽喉头颈外科杂志》
CSCD
北大核心
2022年第4期300-303,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
核磁共振水成像
电子计算机断层扫描
脑脊液鼻漏
magnetic resonance hydrography
computed tomography
cerebrospinal fluid rhinorrhea
