蝶窦外侧壁相关结构的CT和MRI对比研究

目的 :对正常人蝶窦外侧壁相关结构的CT和MRI进行对比研究 ,为该区域疾病诊断和鉴别诊断提供理论依据。方法 :对 2 5例正常人行冠状和水平位高分辨率CT扫描。对 2 0例正常人行MRI冠状、水平位SET1 WI和FSET2 WI扫描。结果 :①蝶窦气化分为蝶骨体气化类型和蝶骨体突起气化类型。前者分 3型 :甲介型 (2 % ) ,鞍前型 (2 0 % ) ,鞍型 (78% )。后者分 4型 :蝶骨小翼气化型 (38% ) ,蝶骨大翼气化型 (40 % ) ,翼突气化型(34% ) ,鞍背气化型 (6 % )。②蝶骨外侧骨壁最薄 (<1mm)处位于视神经管内壁 (96 % )、蝶筛隐窝层面骨壁(86 % )、颈内动脉管层面骨壁 (6 6 % )。③过度气化的蝶窦可使圆孔 (6 4 % )和翼管 (44 % )突入蝶窦腔内。结论 :临床应对视神经管周围不同气化类型给予充分重视

Related structures of the lateral sphenoid wall anatomy studies in CT and MRI

OBJECTIVE: To study the anatomy of the Lateral Sphenoid Wall in CT and MRI in normal adults so as to provide a theoretical basis for imagine science. METHOD: High resolution CT in axial and coronal planes was conducted on 25 normal adults. MRI in axial and coronal planes, using SE T1 WI and FSE T2 WI was conducted on 20 volunteers. RESULT: 1. The pneumatisation of sphenoid sinus can be divided into two types: Pneumatisation of the sphenoid body and the one of sphenoid process. The former one can be subdivided into three categories: concha (2%), pre sellar (20%), sellar (78%). The latter can be subdivided into four categories: lesser wing (38%), greater wing (40%), pterygoid process (34%) and dorsum sellar (6%). 2. The thinnest part (< 1 mm) of the LSW is located at the inner wall of the optic nerve canal (96%), at the bony wall in the plane of sphenoethmoid recess (86%), the bony wall in the plane of the internal carotid artery (66%). 3. Over pneumatised sphenoid sinus could make the foramen rotumdum (64%) and pterygoid canal (44%) protrudes into the sphenoid cavity. CONCLUSION: Attention should be paid to the various mode of pneumatization around the optic nerve canal.