摘要
目的评价螺旋CT对先天性心脏病患儿分泌性中耳炎的诊断价值。资料与方法回顾性分析我院2008-02～2010-10收治的先天性心脏病反复上呼吸道感染的残疾儿童46例78耳分泌性中耳炎的螺旋CT表现。结果 28例37耳有不同程度的乳突密度增高,气房减少,听小骨完整,周围骨质无破坏;21例41耳仅表现为乳突气房模糊。2例支气管扩张;6例唇腭裂;8例腺样体肥大;1例鼻中隔偏曲;38例伴不同程度的筛窦、上颌窦积液。结论螺旋CT可清晰显示中耳、乳突、鼻旁窦结构及腺样体肥大程度,对先天性心脏病患儿分泌性中耳炎的临床诊断有重要的指导价值。
Purpose To evaluate the diagnostic value of spiral CT for otitis media with effusion in children with congenital heart disease.Materials and Methods Spiral CT manifestations of 78 earswith otitis mediain 46 disable congenital heart disease children with recurrent upper respiratory infection admitted to our hospital from February 2008 to October 2010 were retrospectively analysed.Results 28 cases with 37 ears showed varying degrees of hyper-density in mastoid process,reduced air antrum,and ossicular integrity.No damage was revealed in the surrounding bones.21 cases with 41 ears showed only vague mastoid air cell.2 cases showed bronchiectasis.6 cases showed cleft lip and palate.8 cases showed adenoid hypertrophy.1 case showed deviation of nasal septum.38 cases suffered from the effusion in varying degrees on ethmoid and mandibular sinus.Conclusion Spiral CT can clearly show middle ear,mastoid,paranasal sinuses structure and degrees of adenoid hypertrophy.It has important guiding value in clinical diagnosis of secretions otitis media in children with congenital heart disease.
出处
《中国医学影像学杂志》
CSCD
北大核心
2011年第7期509-512,共4页
Chinese Journal of Medical Imaging
关键词
中耳炎
伴渗出性
心血管畸形
体层摄影术
X线计算机
儿童
Otitis media with effusion； Cardiovascular abnormalities； Tomography,X-ray computed； Child；
