摘要
目的总结非侵袭性真菌性上颌窦炎的CT表现特征,以提高本病的正确诊断率。方法对经手术、病理证实的50例非侵袭性真菌性上颌窦炎的CT表现进行回顾性分析。结果 43例病变累及一侧上颌窦,7例累及同侧筛窦及鼻腔。病变窦腔内充以软组织密度影,内见斑点斑块状钙化36例,窦腔高密度影内见气泡影19例。34例见上颌窦窦壁骨质改变,窦壁骨质增生硬化26例;窦壁骨质吸收破坏24例。结论非侵袭性真菌性上颌窦炎具有特征性的CT表现,CT对该病的诊断有较高价值。
Objective To analyse the CT characteristcs of noninvasive fungal maxillary sinusitis in order to increase diagnostic accuracy of fungal sinusitises. Methods CT findings in 50 cases of noninvasive fungal maxillary sinusitis proved by surgery and pathology were retrospectively analysed. Results Of the 50 cases, 43 cases had involvement of unilateral maxillary sinus, 7 cases had unilateral maxillary sinus, ipsilateral ethmoid sinus and nasal cavity involvement. The affected sinuses were filled with soft tissues, in which speckled calcification were seen in 36 cases, bubble image in high density were found in 19 cases. 54 cases had changing of the bony maxillary sinus wall and osteosclerosis of nasal sinuses were found in 26 cases and localized bone destruction was found in 24 cases. Conclusion CT findings of noninvasive fungal maxillary sinusitis has characteristic features. CT is a valuable method for diagnosing fungal sinusitises.
出处
《医学影像学杂志》
2012年第6期900-902,共3页
Journal of Medical Imaging
