CT检查在鼻腔及鼻窦非霍奇金淋巴瘤临床诊断中的应用分析

CT examination of nasal cavity and paranasal sinuses application analysis of non-Hodgkin's lymphoma clinical diagnosis

目的探讨CT检查在鼻腔及鼻窦非霍奇金淋巴瘤(NHL)临床诊断中的应用分析,为临床诊断提供依据。方法回顾性分析近3年入我院治疗的21例鼻腔及鼻窦非霍奇金淋巴瘤患者的临床资料,对其行CT检查后,对其检查结果和影像学特点进行分析。结果 21例患者中原发鼻窦5例,原发鼻腔16例。16例鼻腔NHL患者中12例发病部位为鼻腔前部或鼻前庭;病灶部位有浸润表现3例,肿块表现9例,混合表现9例,多数密度相对均匀;鼻窦NHL患者骨质破坏严重,且膨胀性压迫骨质;鼻腔NHL患者骨质破坏不明显或破坏轻微;鼻窦NHL和鼻腔NHL患者的病灶均易对邻近组织或器官造成损害。结论鼻腔鼻窦NHL患者在CT影像表现上具有一定的特征性,在临床诊断本病时可把CT影像表现作为主要的参考依据。

Objective To study the CT scan analysis in the clinical diagnosis of nasal and sinus non- Hodgkin~ lymphoma（NHL） to provide a basis for clinical diagnosis. Methods Retrospective analysis of the past 3 years in our hospital, 21 cases of nasal and sinus non-Hodgkin＇s lymphoma patients, clinical data, CT scan, analyze test results and imaging features. Results 21 patients with primary nasal sinus in 5 cases, 16 cases of primary nasal cavity. 16 cases of nasal NHL patients 12 cases of nasal cavity or nasal vestibule anterior part; lesion infiltration manifestation in 3 cases, mass in 9 cases, and 9 cases were mixed, relatively uniform most density; paranasal sinus NHL in patients with severe bone destruction, and expansive bone compression; nasal NHL in patients with bone destruction is not obvious or damaged; patients with nasal sinus NHL and NHL lesions are easy to damage to adjacent tissue or organ. Conclusions Patients with nasal NHL has certain characteristics on CT imaging in the clinical diagnosis of the disease, can put the CT image as the main reference.