| 11例霉菌性鼻窦炎误诊分析 |
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| 引用本文： | 陈昌毅,蔡新宇,王远梅,李永才,冉小军,雷红卫,程涛,杨中军,郑卫华.11例霉菌性鼻窦炎误诊分析[J].放射学实践,2006,21(9):899-901. |
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| 作者姓名： | 陈昌毅 蔡新宇 王远梅 李永才 冉小军 雷红卫 程涛 杨中军 郑卫华 |
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| 作者单位： | 434000,湖北,荆州市第一人民医院放射科;434000,湖北,荆州市第一人民医院放射科;434000,湖北,荆州市第一人民医院放射科;434000,湖北,荆州市第一人民医院放射科;434000,湖北,荆州市第一人民医院放射科;434000,湖北,荆州市第一人民医院放射科;434000,湖北,荆州市第一人民医院放射科;434000,湖北,荆州市第一人民医院放射科;434000,湖北,荆州市第一人民医院放射科 |
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| 摘 要： | 目的:探讨霉菌性鼻窦炎CT误诊原因,提高对本病的认识。方法:回顾性分析经手术病理证实、术前被误诊的11例霉菌性鼻窦炎的病例资料,结合其CT表现和临床症状,分析误诊原因。结果:11例中误诊为细菌性副鼻窦炎5例,上颌窦慢性炎性息肉样变4例,上颌窦癌2例。其中仅1例CT显示病变中有钙化灶,10例未见明显钙化。结论:钙化是CT诊断霉菌性鼻窦炎的关键征象,没有钙化的霉菌性鼻窦炎应注意鉴别诊断,结合临床综合分析。
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| 关 键 词： | 霉菌 鼻窦炎 体层摄影术 X线计算机 诊断 |
| 文章编号： | 1000-0313(2006)09-0899-03 |
| 收稿时间： | 06 6 2006 12:00AM |
| 修稿时间： | 2006年6月6日 |
Analysis of 11 cases with Mycotic Nasosinusitis Misdiagnosed by CT |
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| CHEN Chang-yi, CAI Xin-yu, WANG Yuan-mei,et al..Analysis of 11 cases with Mycotic Nasosinusitis Misdiagnosed by CT[J].Radiologic Practice,2006,21(9):899-901. |
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| Authors: | CHEN Chang-yi CAI Xin-yu WANG Yuan-mei |
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| Institution: | Department of Radiology, the First Hospital of Jingzhou, Hubei 434000,P. R. China |
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| Abstract: | Objective:To explore the cause of misdiagnosis on mycotic nasosinusitis.Methods:11 cases of misdiagnosed mycotic nasosinusitis were analzed retrospectively.Combined with CT imaging appearances and clinical symptom,the cause of misdiagnosis was seeked.Results:In 11 cases,5 cases were misdiagnosed as bacterial nasosinusitis;4 cases were misdiagnosed as chronic inflammatory polypoid change in maxillary sinus;2 cases were misdiagnosed as carcinoma of maxillary sinus.In the CT findings of these cases,calcification was found in 1 cases,and the others showed no calcification.Conclusion:Calcification is the pivotal CT signs on diagnosing mycotic nasosinusitis.Differential diagnosis should be thought highly if there were no calcification. |
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| Keywords: | Fungi Sinusitis Tomography X-ray computed Diagnosis |
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