鼻腔鼻窦骨化纤维瘤的螺旋CT诊断.pdfVIP

320 ChinJ0torhinOlaryngolIntegMed2009，Vol17，No6 doi：10．3969／j．issn．1007—4856．2009．06．008 鼻腔鼻窦骨化纤维瘤的螺旋CT诊断 罗伟 常英展 吕毛古 艾书跃 【摘要1目的 探讨螺旋CT在鼻腔鼻窦骨化纤维瘤的诊断价值。方法 回顾性研究本院行手术治疗并经病理确诊的鼻腔 鼻窦骨化纤维瘤患者24例，分析其临床资料及螺旋CT影像学特征，探讨螺旋CT诊断程序。结果 侵犯单个鼻窦的肿瘤12例， 包括筛窦8例，上颌窦4例；其中6例伴有鼻腔侵犯。病变同时侵犯多个鼻窦和鼻腔者l2例，包括上颌窦和筛实8例，筛窦和额窦4 例。肿瘤的CT表现为鼻腔 ／鼻窦内单发类圆形或不规则形高密度肿块，部分区域可见低密度影，其周边显示完整的骨性包壳， 呈膨胀性生长，周围组织受压变形但界限清晰。结论 螺旋CT扫描是诊断鼻腔鼻炎骨化纤维瘤最常用和最有价值的影像学检 查手段。 【关键词】骨化纤维瘤；鼻腔；鼻窦；螺旋CT；诊断应用 SpiralCT scanningforthediagnosisofossifyingfibromainnose andparanasalsinuses LUO W01, CIIANG Yingzhan, LVPogu, AI uyue Pept．ofOto／aryngo／ogy, theNo．81Hospita~ Nanjing,2100o2,China [Abstract]0bjectiveToexploretheclinicalvalueofspiralCTscanningforthediagnosisofossifyingfibromainnoseand paranasalsinusesbasedonaclinicaltria1．MethodsAretrospectivestudywascarriedoutamong24caseswithossiyfingfibromainnose andparanasalsinuses，diagnosedniourHospitalonthebasisofsurgeryandhistopahtologyfrom Ju1．，2000toMa 2008．Theirclinicaldata werecarefullyanalyzed，withspeciallyfocusedattentionontheirspiralCTimagefeaturestoexplorehtefeasiblediagnosticprogram ofr suchalesion．ResultsOutofhtisrgoupofpatients，12wereseenwiht htelesioninvadingintoasinglesinus，including8inethmoidaland 4inmaxillary snius，ofhtem 6caseswiht theirlesiondevelopedintonasalcavity．Andnaother12casesshowedtheirlesioninvadedboht ofmulIipleparanasalsinusesandnasalcaviytathtesametimealready,includnig8inethmoidalandmxaillarysniusesand4inethmoidal nadrfontalsinuses．TheCTimagefeaturesofossiyfingfibromainnoseandparanasalsinuseswereshownassnigleround-likeorun-regular hi曲densityofmass，wihtpartofthetumorareashowinglowerdensiytofimage．Furthermore，theremaybeanintegriytbonyshellaround themass，withadevelopingtendencyofexpansiveoutwradsgrowthleadingtohtepefienchymadisfiguratedbymasspressbutsti