多层螺旋CT对耳硬化症诊断价值.docVIP

多层螺旋CT对耳硬化症诊断价值作者单位：528308 广东省佛山市顺德区伦教医院（徐锦锋，全世杰，刘其枫）；广东省佛山市第一人民医院（宋裕娣）? 通讯作者：徐锦锋 【摘要】 目的 明确耳硬化症的高分辨率CT表现，探讨多层螺旋CT对耳硬化症的诊断价值。方法 收集经临床、手术病理证实为耳硬化症的患者17例，所有病例均行多层螺旋CT扫描，扫描层厚为0.625 mm，采集的数据传输到AW4.1工作站，进行多平面重建。结果 17例共30耳显示异常。耳硬化症的多层螺旋CT表现可分为窗型、耳蜗型及混合型。窗型23耳，仅前庭窗异常18耳，表现为前庭窗扩大或狭小；耳蜗、前庭窗同时受累5耳。耳蜗型4耳，主要累及耳蜗周围迷路骨质，表现为耳蜗骨迷路边缘不整，呈条片状密度减低或呈双环状改变。混合型3耳，同时累及耳蜗、前庭窗、蜗窗及内耳迷路其他部分。MPR重建可充分显示所有重要解剖结构的位置、形态，其中2耳合并颈静脉球高位。结论 多层螺旋CT能清晰显示耳硬化症病变范围并进行临床分型，结合MPR技术可提供详细的术前诊断信息，对临床制定合适的手术方案及疗效评价等具有重要的指导意义。? 【关键词】 耳硬化症； 体层摄影术； X线计算机?? Diagnostic value of Multi-slice spiral CT in Otosclerosis XU Jin-feng, SONG Yu-di, QUAN Shi-jie, et al.Lunjiao Hospital, Foshan 528308, China? 【Abstract】 Objective To know the high-resolution CT change in otosclerosis, and discuss the diagnostic value of multi-slice spiral CT in otosclerosis.Methods Collected 17 cases of otosclerosis diagnosed by clinical or surgical pathology. All the patients were examined by multi-slice CT scan, slice thickness was 0.625 mm, collected data to AW4.1 workstation for multi-planar reconstruction.Results Total 30 ears showed abnormal in 17 cases. The performance of multi-slice CT of otosclerosis could be divided into the window type, cochlea type, and mixed type. Window type 23 ears, only 18 ears were abnormal in vestibular window, such as the vestibular window too wide or narrow. 5 ears changed in cochlea and the vestibular window. 4 ears changed in cochlea, mainly changed in the bone in labyrinth round the cochlea, like the edge of Bony labyrinth in the cochlea was irregular, for the change of low density like sheet or bar or double-ring. Hybrid type in 3 ears, involved in the cochlea, oval window, cochlear window and other parts of the inner ear labyrinth at the same time. MPR reconstruction could clearly display the location and shapes of all the important anatomical structures, show two ears with high level jugular bulb.Conclusion Multi-slice CT can show the extent of otosclerosis clearly and for clinical classifi