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真菌性鼻窦炎的CT诊断
引用本文:曾伟金,林生贵,彭翠兰,黄智标,刘畅生,王莉君.真菌性鼻窦炎的CT诊断[J].现代医用影像学,2010,19(1):3-5.
作者姓名:曾伟金  林生贵  彭翠兰  黄智标  刘畅生  王莉君
作者单位:1. 广东省汕尾市逸挥基金医院影像诊断中心,516600
2. 陕西省肿瘤医院,西安,710061
摘    要:目的:探讨真菌性鼻窦炎的CT影像学特点。材料与方法:回顾性分析经手术和内窥镜病理证实的66例真菌性鼻窦炎的CT表现。结果:所有受累鼻窦均显示窦腔密度增高,病变累及一侧上颌窦45例,两侧上颌窦12例,一侧上颌窦、筛窦24例,上颌窦内可见点状、斑块状、线状钙化影50例,窦腔高密度影内可见气泡影25例,病变呈肿块状突入鼻腔13例,窦壁骨质硬化35例,窦壁骨质吸收破坏18例,但残存骨端伴有骨质硬化,以内侧壁破坏多见。病变延伸到邻近结构5例。结论:根据其CT表现可归纳如下特点:(1)病变多为单侧性;(2)病变部位以上颌窦为主;(3)窦腔密度增高,其内可见点状、斑块状、线状钙化影;(4)局限性骨质增生与破坏,破坏残端常伴有骨质硬化。其中以鼻窦病变内钙化影最具特异性。

关 键 词:真菌  鼻窦炎  断层摄影cT诊断

Tomogtraphy Diagnosis Of Mycotic Nasosinusitis
Zeng Weijin Lin Shenggui Peng Cuilan,et al Iconography Diagnosis Centre of Yihui Fund Hospital.Shanwei CityGuangdong Province , Radiology.Tomogtraphy Diagnosis Of Mycotic Nasosinusitis[J].Modern Medical Imagelogy,2010,19(1):3-5.
Authors:Zeng Weijin Lin Shenggui Peng Cuilan  Iconography Diagnosis Centre of Yihui Fund HospitalShanwei CityGuangdong Province  Radiology
Institution:Zeng Weijin Lin Shenggui Peng Cuilan,et al1 Iconography Diagnosis Centre of Yihui Fund Hospital.Shanwei CityGuangdong Province 516600,2 Radiology Department of ShaanxiOncological Hospital Xi\'an City 710061
Abstract:Purpose:To study the tomographic characteristic of mycotic nasosinusitis.Materials and Methods:66 case of mycotic nasosinusitis,which were confirmed by pathology of surgery and endoscope,were retrospectively analyzed.Results:The density of all affected raised,45 cases of them were affected by unilateral sinuses maxillaris,12 cases of them were affected by hibateral sinuses maxillaris,24 cases of them were affected by unilateral sinuses maxillaris and ethmoidal anfractuosity,punctate,plaquelike and linear ca...
Keywords:Mycotic Nasosinusitis Tomography Diagnosis  
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