鼻咽癌低场MRI诊断价值.docVIP

精品论文 参考文献 鼻咽癌低场MRI诊断价值 程钢 蒋飞 欧文 （凉山州第二人民医院四川凉山州MRI室 615000） 【中图分类号】R739.6 【文献标识码】A【文章编号】1672-5085（2012）48-0200-02 【摘要】 目的 分析鼻咽癌的MRI表现,探讨低场MRI在鼻咽癌诊断中的应用。方法 回顾性分析我院45例经病理活检证实的鼻咽癌MRI表现。结果 鼻咽癌的主要MRI表现:鼻咽顶后壁及左侧壁、右侧壁粘膜增厚或局部软组织肿块形成,咽隐窝表浅、消失,咽鼓管咽口变钝或闭塞,咽旁间隙移位或变窄、消失,一侧或双侧中耳乳突炎症,可伴颅底骨破坏,并侵犯海绵窦、眼眶、颞下窝或翼腭窝受累及。瘤体组织T1WI呈均匀等信号或稍低信号,T2WI呈均匀稍高信号或较高信号,增强扫描肿瘤呈重度、中等度、轻度强化分别为8(31.0%)例、29(57.7%)例、8(11.3%)例。结论 低场MRI能多方位清楚、准确地显示鼻咽癌的部位、大小、形态、侵犯范围及周围组织结构受累程度,是临床诊断鼻咽癌最优良的影像检查方法。 【关键词】 鼻咽癌 低场磁共振成像 诊断 【Abstract】 Objective The MRI manifestdtions of NPC were analysed and low-field MRI on the diagnosis of NPC was disscussed.Methods The MRI manifestations cf 45casea that were confirmed by biopsy were analysed retrospectively. Results The MRI of NPC manifese mainly as follow:The mucosa thickened or solf tissue mass formed on the top of posterior, left and right nasopharyngeal wall,Pharyngeal recess became supperficial and disappearing, And pharyngeal ostium of eustachian tube became dull or bstructive, The pharyngeal space displaced or narrowed and disappeared. unilteral or bilateral otomastoiditis can be seen and can be accompanied by the destruction of skull base, carernous sinus and orbit can be violated, and temporal fossa or pterygopalatine fossa can be involed .The T1WI signal of tumorous tissue was homogeneous or slightly low, the T2WI signal was slightly high or higher on the enhamced scanning, the amount(or ratio) of serer,moderate and mild enhanced cases were respectively 8(31.0%), 29(57.7%), 8( 11.3% ).Conclusions Low-fild MRI can imdicate muticfaceted clearly and accurately the location,size, shape, violating scope of NPC and the extent of involting adjacent tissue and structure, So the low-fild MRI is the best imaging examination on the diagnosis of NPC. 1　材料与方法 1.1　一般资料　45例患者中，男33例，女12例。年龄20～77岁，平均52.6岁。临床表现为鼻衄26例，鼻部阻塞感29例，头痛、复视8例，颈部包块6例。上述表现可以同时存在，也可以单独存在。 1.2　MRI方法　 全部病例均使用安科0.2T Open MARK ‖ 开放式磁共振仪，全部病例均采用自旋回波（SE）序列，行横断位、冠状位扫描，部分病例加扫矢