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螺旋CT在诊断非侵袭性真菌性上颌窦炎诊断中的应用探讨
引用本文:马方伟,张世胜,陈首名,罗鹰.螺旋CT在诊断非侵袭性真菌性上颌窦炎诊断中的应用探讨[J].西南军医,2011,13(6):1003-1005.
作者姓名:马方伟  张世胜  陈首名  罗鹰
作者单位:1. 攀枝花学院附属医院CT室, 四川,617000
2. 610051,成都市第六人民医院放射科
摘    要:目的探讨螺旋CT扫描在非侵袭性真菌性上颌窦炎诊断中应用价值。方法对31例真菌性上颌窦炎的螺旋CT扫描结果及鼻内镜术中表现、术后病理检查结果等资料进行回顾性分析。结果 12例患者单侧上颌窦腔内不均匀的密度增高影,影像诊断考虑为上颌窦真菌球(FB);16例患者双侧上颌窦、筛窦内软组织密度影充填(以单侧上颌窦为主),影像诊断考虑为变应性真菌性上颌窦炎(AFRS);3例患者鼻窦CT未见明显的钙化点、斑及骨质吸收破坏,术前考虑为慢性鼻窦炎(双侧),31例均经鼻内镜术中所见及术后病理证实为真菌病。结论 CT扫描在非侵袭性真菌性上颌窦炎的诊断中具有十分重要的诊断价值。

关 键 词:上颌窦炎  真菌  体层摄影术  X线计算机

Application of Spiral CT in the Diagnosis of Non-invasive Fungal Rhino-sinusitis
Authors:Ma Fangwei  Zhang Shisheng  Chen Shouming  Luo Ying
Institution:Ma Fangwei,Zhang Shisheng,Chen Shouming,Luo Ying,CT Room,the Affiliated Hospital to Panzhihua College,Panzhihua City,Sichuan Province,6170000,P.R.China
Abstract:Objective To discuss the application value of spiral CT in the diagnosis of non-invasive fungal rhino-sinusitis.Methods A retrospective analysis was made to the CT scanning images,the finding in nasal endoscopic surgery and pathological study results of 31 cases with non-invasive fungal rhino-sinusitis.Results Increase uneven density was found in unilateral maxillary sinus in 12 cases and the imaging diagnosis was maxillary sinus fungal ball(FB);soft tissue density shadows were found in bilateral maxillary ...
Keywords:rhino-sinusitis fungal tomography X-ray computer  
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