CT扫描在慢性鼻副窦炎诊断中的应用价值

The application of CT scan for chronic sinusitis diagnosis

目的进一步评价CT扫描在慢性鼻副窦疾病诊断中的应用价值。方法搜集慢性鼻副窦炎患者83例(全部经手术及病理证实),全部行冠状位扫描,21例加作轴位扫描,对疑有窦壁骨质破坏的2例加作高分辨率CT(HRCT),分析对照慢性副鼻窦疾病病变的类型和范围。结果所有病例均有窦壁粘膜不同程度增厚和窦内积液,窦壁粘膜增厚伴软组织影16例,上颌窦内斑点6例,上颌窦窦壁骨质吸收2例,中、下鼻甲肥大63例,鼻腔内软组织影充塞60例。结论对慢性副鼻窦炎CT扫描能准确描述其病变的类型、范围、程度,清晰显示副鼻窦的解剖和比邻关系,对手术治疗方案的制定有重要指导作用。

Objective To evaluate the application of CT scanning on diagnosis of chronic sinusitis. Methods 83 patients with surgically and pathologically proves chronic sinusitis were involved in the present study. All cases were scaned on coronal position. 21 cases were scaned on axial position. 2 cases were underwent with HRCT scanning. Result All cases were involved in proliferation on the mucosa of paranasal sinus wall at different level and hydrops in the sinus. 63 cases demonstrated hypertrophy of the medium and the lower nasal cartilage. 60 casses displayed obturator in the nasal cavity. Conclusions CT scanning can show the type, degree and areas of chronic sinusitis.