期刊文献+

多层螺旋CT诊断环杓关节脱位的价值 被引量:13

Application of multi-slices spiral CT in diagnosis of cricoarytenoid joint dislocation
下载PDF
导出
摘要 目的 :探讨多层螺旋CT对环杓关节脱位的诊断价值。方法 :2 8例声嘶患者 ,均经纤维喉镜检查发现单侧声带麻痹。在平静呼吸及Valsalva呼吸状态下 ,分别行喉部多层螺旋CT扫描 ,层厚为 0 .6 2 5mm ,并在工作站 (ADW4 .0 )进行环杓关节、声带、喉部含气腔的 3D容积重建。环杓关节复位治疗后CT复查 2 3例。结果 :2 8例患者多层螺旋CT轴位及各种重建图像显示喉部结构不对称。杓状软骨前脱位 16例 ,后脱位 12例 ,左侧 19例 ,右侧 9例。声带固定于旁中位伴同侧梨状窝扩大 2 6例 ,固定于中位伴梨状窝缩小 2例。复位治疗后 2 3例复查喉部CT ,18例环杓关节显示正常。结论 :多层螺旋CT及 3D容积重建能清晰显示环杓关节脱位的病变特征 ,对环杓关节脱位诊断与复位治疗具有重要的临床价值。 Objective:To evaluate multi-slices spiral computed tomography (MSCT) in diagnosing crico aryrenoid joint dislocation.Methods:28 patients with hoarseness and lateral vocal cord paralysis suspected with crico arytenoid dislocation were imaged with MSCT.Twice volume scans were performed in all patients during quiet breath and Valsalva breath respectively at thickness 0.625mm.Volume-rendering (VR) images were gained on the workstation. Among them, 23 cases were imaged with MSCT after repositioning.Results:The asymmetric structures of larynx were showed in all patients on the axial and reformatted images,which revealed that anterior and post arytenoid dislocation were in 16 cases, 12 cases,respectively, left arytenoid dislocation 19 cases, right arytenoid dislocation 9 cases.The paralyzed vocal cord fixed at paramedian position accompanying with enlargement of the ipsilateral pyriform sinus were found in 26 cases, while 2 cases with diminution of the ipsilateral pyriform sinus.18 cases of the normal cricoarytenoids joints were showed after repositioning.Conclusion:MSCT and 3D-VR might demonstrate clearly the features of the arytenoid dislocation and it may be a useful adjunct in the diagnosis and repositioning of arytenoid dislocation.
出处 《医学影像学杂志》 2004年第8期627-630,共4页 Journal of Medical Imaging
关键词 环杓关节 脱位 体层摄影术 X线计算机 Dislocaton Cricoarytenoid joint Tomography,X-ray computed
  • 相关文献

参考文献10

  • 1Talmi YP, Wolf M, Bar Ziv J,et al.Postintubation a rytenoids subluxation[J].Ann Oto Rhinol Laryngol,1996,105:384-390.
  • 2Alexander AE, Lyons GD, Fazekas-May MA,et al. Utility of heli cal computed tomog raphy in the study of arytenoids dislocation and arytenoids subluxation[J].An n Oto Rhinol Laryngol,1997,106:1020-1023.
  • 3Hoffman HT, Brunberg JA, Winter P,et al.Arytenoid subluxation: diagnosis and treatment[J].Ann Oto Rhinol Laryngol,1991,100:1-9.
  • 4Sataloff RT,Bough ID,Spiegel JR, et al. Arytenoids dislocation : diagnosis and treatment[J].Laryngoscope,1994,104:1353-1361.
  • 5Jan L. A biomechanical study of the human cricoarytenoid joint [J]. Laryngoscope,1998,108:1704-1711.
  • 6王志斌,夏黎明,王承缘.螺旋CT在诊断环杓关节脱位中的应用[J].中华耳鼻咽喉科杂志,2002,37(3):223-225. 被引量:22
  • 7Szigeti CL, Baeuerle JJ, Mongan PD,et al.Arytenoids dislocatio n with lighted sty let intubation: case report and retrospective review[J]. Anesth Analg,1994,7: 185-186.
  • 8Jan L. A biomechanical study of the human cricoarytenoid joint [J]. Laryngoscope,1998,108:1704-1711.
  • 9Paulsen FP, Jungmann K Tillmann BN,et al. The cricoarytenoid j oint capsule and i ts relevance to endotracheal intubation[J]. Anesth Analg,2000,90:180-185.
  • 10Brosch S, Johansen HS.Clinical course of acute laryngeal traum a and associated e ffects on aphonation[J]. J Laryngol Otol,1999,113:58-61.

二级参考文献8

  • 1Sellars I.Sellars S.Cricoarytenoid joint structure and function.J Laryngol Otol 1983,97:1027-1034.
  • 2Hoffiman HT.Brunberg JA.Winter P.et al.Arytenoid subluxation:diagnosis and treatment.Ann Otol Rbinol Laryngol 1991,100:1-9.
  • 3Brosch S,Johansen HS.Clinical course of acute laryngeal trauma and associated effects on phonation.J Laryngol Otol 1999,113:58-61.
  • 4Talmi YP.Wolf M.Bar -Ziv.J et al.Postintubation arytenoid subluxation.Ann Otol Rbinol Laryngol. 1996,105 : 384-390.
  • 5Alexander AE.Jr.Lyons GD.Fazekas-May MA.et al.Utility of helical computed tomography in the study of arytenoid dislocation and arytenoid subluxation,Ann Otol Rhinol Laryngol. 1997,106 : 1020-1023.
  • 6Agha FP.Recurrent Laryngeal nerve paralysis:a laryngographic and computed tomographic study.Radiology 1983,148 : 149- 155.
  • 7Robert Y.Rocourt N,Chevalier D.et al.Helical CT of the larynx:a comparative study with conventional CT scan. Clin Radiol, 1996, 51:882-885.
  • 8Sataloff RT.Bough ID.Jr.Spiegel JR.Arytenoid dislocation:diagnosis and treatment.Laryngoscope 1994,104(11 Pl 1):1353-1361.

共引文献21

同被引文献86

引证文献13

二级引证文献47

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部