上颌窦曲菌病的CT诊断(附12例报告)

目的 探讨上颌窦曲菌病的ＣＴ表现及诊断价值。方法 对１２例手术病理证实为上颌窦曲菌病的影像学，临床及手术病理资料进行回顾性分析。结果 ＣＴ表现：（１）上颌窦内不均匀性软组织密度影；（２）与窦壁无关的钙化；（３）局限性骨质增生和破坏；（４）仅累及一侧上颌窦，少累及其他鼻窦。结论 该病具有较特征的ＣＴ表现，８５％以上的病人可获得诊断。ＣＴ可明确病变的部位及范围，是首选的影像学检查方法。

CT diagnosis of aspergillosis in maxillary sinus

Objective To evaluate CT diagnostic value in maxillary sinus asperillosis Methods 12 cases vertified by surgery and pathology were collected, their imaging, clinical and pathological features were retrospectively analysed Results CT specific sign included: (1)Heterogeneous opacification in maxillary sinus (2)Calcifilation not related with sinus wall (3)Localized bone proliferation and destruction in sinus wall (4)The unilaterall location Conclusions According to the specific CT appearances diagnosis can be established in 85% of patients CT is the imaging modality of choce in aspergillosis of maxillary sinus by defining the location and extent of lesion