简述真菌球型鼻窦炎的临床及影像学特征.docVIP

精品论文 参考文献 简述真菌球型鼻窦炎的临床及影像学特征 肖俊 陈洪昌 杨凌峰 涂恩义 　　成都市新都区人民医院 四川 成都610500 　　【摘要】目的：观察真菌球型鼻窦炎的临床及影响学特征，探讨其临床诊断意义。方法：选取我院近几年收治的45例真菌球型鼻窦炎患者以及45例健康患者，回顾性分析45例真菌球型鼻窦炎患者，患者均进行鼻内镜手术，对比患者与健康者的鼻部组织病理学检验以及影像学检查得出真菌球型鼻窦炎的临床特征，得出结论。结果：与健康者对比，45例患者中38例患者为单侧鼻窦病变，占84.44%；剩余7例患者为双侧鼻窦病变，占15.56%。经临床CT检查后，25例患者出现鼻内局部密度升高切分布不均，占55.56%；20例患者出现密度均匀的软组织影，占44.44%。影像学检查发现45例患者均出现不同程度的鼻窦骨质增生。组织病理学检测后发现影像学的诊断率高达95.56%。两种检验方法对比差异具有统计学意义（Plt;0.05）。结论：对真菌你鼻窦炎患者进行影像学检查能够准确判断患者临床症状，病变类型以及病变范围，对正确诊断治疗真菌球型鼻窦炎你具有积极意义，值得临床推广。 　　【关键词】真菌球型鼻窦炎；影像学检查；临床特征 　　The clinical and imaging features of fungus ball sinusitis is outlined 　　XiaoJun Chen Hongchang Yang Lingfeng Tu EnYi 　　Chengdu xindu district peoples hospital of chengdu in sichuan province in 610500 　　【 abstract 】 objective: to observe the clinical of fungus ball sinusitis and affect learning characteristics, to explore the clinical diagnostic significance. Methods: selection of 45 cases of fungus ball sinusitis patients admitted in our hospital in recent years, and 45 cases of healthy patients, a retrospective analysis of 45 cases of fungus ball sinusitis patients, patients with nasal endoscopic surgery, compared with patients and healthy subjects nasal tissue pathology examination and imaging examination of the clinical features of fungus ball sinusitis, draw the conclusion. Results: compared with healthy subjects, 45 patients in 38 cases of unilateral sinus lesions, accounted for 84.44%; For the remaining 7 cases with lateral sinus lesions, accounting for 15.56%. After clinical CT examination, 25 cases of patients with nasal local higher density distribution, accounting for 55.56%; Homogeneous soft tissue density shadow, observed in 20 patients (44.44%). Imaging studies found 45 patients showed different degrees of nasal bone hyperplasia. Histopathology after testing found imaging diagnostic rate is as high as 95.56%. Two test methods contrast differences statistically significant (P lt; 0.05). Conclusion: in patients with fungal sinusitis you i