先天性颅颌面骨常见畸形的MSCT诊断.pdfVIP

482 放射学实践 2016 年 6 月 第 31 卷第 6 期 Radiol Praclice.1un 2016. Vol 剖.No. 6 ·头颈部影像学· 先天性颅颁面骨常见畸形的 MSCT 诊断 李洋，都大鹏，石祥龙，于伺候，如l 吉华，徐文坚 E摘要】 目的: 总结先天性烦领i1 骨常见畸形的多层粮草是 CT MSCT)表现.，提高诊断水准. 方法:回顾性分析 40 例 先天性颅领面骨畸形的 MSCT 征t-. 翁果:颅面裂畸形共 14 例 .MSCT 示均累及.6-脐部，表现为主，t.~，t. 弓区软组织秘 裂伴邻近硬跨部骨质缺损，鼻中阶明显偏甜，9 例同时伴有领骨发育不良或.~高领畸形s 半面短小症共 7 例，均票及羊倒颅i1 部，MSCT 示怠倒下领骨草灾、下领支短小交细，耳A郎、咬肌缩小并周围脂肪闲阶:交薄，下领骨位置上移及左右面部不对 称;跟.m增宽症共 9 例 . MSCT 示两Il 旺内倒闭骨性.m.增宽，双份)I1i外壁夫角和视神经失角浦大伴1l.Jt突出 ，鼻外形宽 大扁乎并软组织增辱，筛窦横径增宽、窦舷扩大伴过度气化，鼻甲肥大、椒面部骨质肥厚外凸Â间Jé 增宽;颅缝早闭症共 10 例，MSCT 示颅骨不规则状突出.其中 5 1ftJ 头颅向一倒倾#.31萨J :头F黄豆舟状.2 例头颅前部主三角状.7 例同时伴有颅板多 发指压迹样改变.结论:各型先天性颅领面骨常见畸形均具有典型的影像学4正象.多层螺旋 CT 及其二维成像能清晰显 示颅领面骨畸形的特征性农珑，能为临床诊断Â治疗提供够助. E关键词】 领i1 畸形;或像.三维;体层极影术.X 线计算机 E 中图分类号) R726. 2; R814.42; R814 (文献标识码】 A ( 文章编号】 1000-0313(201606-0482-05 001: 10. 13609/ j. cnki. 1000-03 13.2016. 06 . 002 The M欲:T diagnosis of common congenltal cranlofacial deformity Ll Yang ,H AO Da-peng ,SH I Xiang- Iong. et al. Depart - ment of Radio logy.the Affi liated Hospita l of Medical College.Qingdao University. Q ingdao 266003.China Abstract) Objective ; To investigate the MSCT (multi-slice computed tomography) findings of common congenital craniofacial deformity. Metbods ;The MSCT features of 40 patients with common congenital craniofacial deformity were ana- Iyzed retrospectively. Results; There was congenital craniofascial cleft in 14 cases. MSCT showed involvement of lip and pal- ate in all cases. presenting as crack of soft tissue of the upper lip bow area and bone defect of hard palate with obvious devia- tion of nasal septum in all 14 cases .dysplasia and deformity of jaw occured in 7 cases. There wa s hemifacial microsomia in 7