摘要
目的:探讨多层螺旋 CT(MSCT)在颈部肿瘤病变中的应用价值。方法:应用 Light Speed QX/i型 MSCT检查32例颈部肿瘤患者(喉癌30例,颈段食管癌1例,甲状腺癌1例),行三维重建及仿真内窥镜成像。结果;MSCT图像清晰,矢状面图像可显示会厌癌侵犯会厌前间隙、声带及声门下的情况以及有无侵犯甲状软骨达颈前软组织;冠状面图像可显示声门旁间隙、杓会厌皱襞及梨状窝受侵情况,并可显示甲状腺癌压迫并侵犯喉及气管情况,多平面重组配合增强扫描可显示转移淋巴结大小、数目与颈部血管关系等。结论:MSCT对术前明确肿瘤范围,行TNM分期及正确选择手术术式有一定帮助。
Objective: To investigate the application value of multislice CT (MSCT)on the neck neoplasms. Methods:Light Speed QX/i MSCT was used to detect 32 patients with neck neoplasms. Among 32 patients, 30 were laryngeal carcinoma, 1 carcinoma of cervical esophagus, 1 thyroid carcinoma. Three-dimension reconstruction and CT virtual endoscopy were also performed. Results: MSCT scanned quickly and the images were clearer than common CT. It could provide more information of diseases and clinical stage for the doctors. CT virtual endoscopy of larynx could demonstrated the range of the disease while not bringing the injury. Conclusion:MSCT had the advantages in the clear images and be easy to three-dimension reconstruction. MSCT was helpful to define the range of the tumor and design the operation.
出处
《耳鼻咽喉(头颈外科)》
2001年第5期286-288,共3页
Chinese Arch Otolaryngology-Head Neck Surg