颅骨破坏性改变疑难病例CT表现分析与手术病理对照

The comparsion of surgical pathology and CT of skull destructive of questionable diseases

目的评价CT扫描对颅骨破坏性改变疑难病例的检查诊断价值。方法回顾性分析经病理证实的4例颅骨破坏性改变疑难病例的CT表现与手术病理对照。结果 4例病例中,1例发生于左侧顶枕骨,1例发生于右侧颞顶骨,1例发生于右侧颈静脉孔区延及右侧岩骨及内耳道,1例发生于左侧额顶骨;2例为良性,2例为恶性。结论颅骨破坏性改变CT表现具有特征性,且CT扫描能了解骨质破坏部位及范围,并且能观察其破坏特征以及明确波及颅内情况,为临床制订合理手术方案提供重要的依据。但要明确其具体性质,须依靠组织病理学检查。

Objective To evaluate the value of CT scan on the diagnosis of skull devastating questionable diseases.Methods A retrospective analysis of 4 patients with pathologically confirmed skull CT destructive changes in the performance of questionable diseases and surgical pathology.Results 1 case occurred in the left parietal occipital.1 case occurred in the right temporal parietal bone.1 case of jugular foramen on the right side and right side of the piteous bone and extended auditory canal and 2 were benign,2 cases were malignant.Conclusion There was characteristics performance of CT in skull devastating change.CT scan can display the location and extent of bone destruction and failure characteristics and brain.It is a reasonable basis for important surgical programs.The nature should base on the histopathology examination.