颌骨囊肿和肿瘤CT_MRI比较研究.pdfVIP

医学影像学杂志2008 年第 18 卷第 3 期 　J Med Imaging Vol. 18 No. 3 2008 颌骨囊肿和肿瘤 CT 、MRI 比较研究 姜 　涛 ,谢立旗 ,陈　焱 ,马建华 ,刘莉娜 ,刘 　建 (青岛解放军 401 医院 CT 室 　山东　青岛　266071) 　　【摘 　要】　目的:探讨颌骨囊肿 、肿瘤 CT 和 MRI 的影像表现 , 比较两种方法的诊断价值及其在临床应用中的意义 。方 法 :回顾分析 46 例 、共 49 个经病理证实的颌骨囊肿和肿瘤的影像资料 。所有病例均行 CT 和 MRI 检查 ,其中增强 7 例 。 将病变两种检查方法的表现特征进行分类对比 , 比较各自显示病变的优劣和诊断价值 。结果 :CT 在评价病变与周围牙齿 关系方面优于 MRI( P 0. 001) 。对下颌神经管受侵( P 0. 01) 、病变范围和髓腔侵犯的评价 MRI 优于 CT 。CT 和 MRI 在评价病变边界 、病变与周围骨皮质关系 、病变与上颌窦关系及周围软组织侵犯方面价值相近 ( P 0. 05) 。结论 :CT 和 MRI 可准确显示颌骨病变的部位 、范围和病变特征 ,二者相结合 ,可提高对颌骨病变诊断和评估的准确性 。CT 仍是显示 颌骨病变的基础手段 ;对于恶性肿瘤和肿瘤复发 ,MRI 检查非常必要 。 【关键词】　颌骨 ;囊肿 ;肿瘤 ;体层摄影术 ,X 线计算机 ;磁共振成像 ( ) 中图分类号 :R739. 82 ;R814. 42 　　　文献标识码 :A 　　　文章编号 :1006 - 9011 2008 03 - 0291 - 04 A comparative study of radiologic imaging modalities for the evaluation of maxillary and mandible cysts and tumors JIANG Tao , XIE Liqi , CHEN Yan , MA Jianhua , LIU Lina , LIU Jian Department of CT and MRI , PLA 401 Hospital , Qingdao 266071 , P. R . China 【Abstract 】　Objective :To study CT and MRI findings of cysts and tumors of jaws and their value in differential diagnosis and roles in clinical application. Methods :All 49 lesions with pathologically proved maxillary and mandible cysts and tumors from 46 patients were ret rospectively studied. Both CT and MRI were performed in total cases. Additional 7 cases were examined by contrast CT and MRI. The relative value of CT versus MRI for depicting benign and malignant lesions of the maxilla and mandible was studied. More emphasis was paid on their ability to detect the lesion and to define lesion margins , soft tissue extension , bone involvement and also their role in diagno sis and differential diagnosis. Results :CT was superior to