| 蝶窦炎性病变和肿瘤的诊断与治疗 |
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| 引用本文： | 张龙城,刘达根,杨伟炎.蝶窦炎性病变和肿瘤的诊断与治疗[J].中华耳鼻咽喉头颈外科杂志,1994(3). |
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| 作者姓名： | 张龙城 刘达根 杨伟炎 |
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| 作者单位： | 中国人民解放总法院耳鼻咽喉科，广西南宁市解放军第３０３医院耳鼻咽喉科 |
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| 摘 要： | 分析２７例蝶窦炎性病变和肿瘤的临床资料，其中炎症１２例，良性肿瘤１０例，恶性肿瘤５例。比较了蝶窦炎性病变与肿瘤的ＣＴ扫描与ＭＲＩ检查的表现，发现炎性病变骨质侵蚀较肿瘤者少，Ｔ＿２信号强度增强较明显，讨论了各种蝶窦手术进路的适应症，提出经鼻外筛窦进路是治疗蝶窦病变的优选术式。
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| 关 键 词： | 蝶窦 鼻窦炎 肿瘤 |
The Diagnosis and Treatment of Sphenoid Inflammatory Neoplasms and Sphenoid Sinus Tumors |
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| Zhang Longcheng, Liu Dagen, Yang Weiyan.The Diagnosis and Treatment of Sphenoid Inflammatory Neoplasms and Sphenoid Sinus Tumors[J].Chinese JOurnal of Otorhinolaryngology Head and Neck Surgery,1994(3). |
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| Authors: | Zhang Longcheng Liu Dagen Yang Weiyan |
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| Abstract: | We have analyzed the clinical data of 27 cases of sphenoid inflammatory neoplasms and sphenold sinus tumors including inflammations(12 cases),benign tumors(10 cases)and malignant tu- mors(5 cases).The characterisitics of sphenoid inflammatory neoplasms were compared with those of sphenoid sinus tumors. On CT scanning and magnetic resonance imaging(MRI)we found that sinusitis resulted in much less bony erosion than tumors on CT scanning and that the T2-sigal intensity on MRI increased much more in sinusitis than in tumors. we have discussed the indications of various op- erative approaches and suggested that the approach of external ethmoldectomy is a method of choice. |
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| Keywords: | Phenoid sinus Sinusitis Neoplasms |
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