摘要
目的:分析真菌性副鼻窦炎的CT表现和特征,探讨CT在该病临床诊断中的价值。方法:回顾性分析27例经手术及病理证实的真菌性副鼻窦炎的CT表现。结果:单侧上颌窦炎18例,双侧同时发病的5例(其中1例累及左侧筛窦),筛窦3例,蝶窦1例。CT表现主要为25例窦腔内有密度较高的不均匀软组织密度影,其中,19例伴有斑点、斑块状及不规则条带状钙化,4例病灶内有散在"小空泡"征,2例病变完全钙化;21例窦壁骨质增厚硬化,2例筛板增厚,窦腔均有所缩小;8例上颌窦内侧壁骨质破坏吸收变薄或中断。结论:真菌性副鼻窦炎的CT表现具有特征性,CT对该病具有较高的诊断价值。
Objective: To analyze the CT performance and characteristics of fungal sinusitis, in order to explore the signifi- cance of CT in the clinical diagnosis of this disease. Methods: CT manifestations of 27 cases which were diagnosed by surgery and pathology as fungal sinusitis were retrospectively analyzed. Results: There were 18 cases of unilateral maxillary sinus, 5 cases bilateral (1 case involved the left ethmoid sinus), 3 cases of ethmoid sinus, and 1 case of sphenoid sinus. CT manifestations, 25 cases in the high density inhomogeneous sinus soft tissue density, of which 19 cases with spots, patchy and irregular calcification banded, 4 lesions were scattered within the "small bubble" sign, 2 cases of calcified lesions completely; Sinus walls' bones of 21 cases were thickened and hardened, sieves of 2 cases were thickened, their sinus were narrowed; maxillary sinus walls of 8 cases were thinned or interrupted because of absorption of bone destruction. Conclusion: Fungal sinusitis has characteristic CT manifestations, CT diagnosis of the disease has a high value.
出处
《中国医药导报》
CAS
2011年第25期89-90,共2页
China Medical Herald