霉菌性副鼻窦炎CT表现和病理分析  

CT Manifestations in Fungal Infections of the Paranasal Sinuses and the Analysis of Pathologic Findings

作　　者：俞肖一[1] 朱杰敏[1] 崔金才 刘维[1] 王云[1] 付永安 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院,北京市100730

出　　处：《医学影像学杂志》1999年第1期4-6,共3页Journal of Medical Imaging

摘　　要：目的　报告２０例病理证实的霉菌性副鼻窦炎并回顾文献，旨在提高对此病的认识探讨ＣＴ的诊断价值。材料和方法２０例均行轴位（８例同时行冠状位）ＣＴ扫描，分析ＣＴ表现和病理结果。结果　病理所见２０例中１５例为曲霉菌，３例为毛霉菌，２例不能分型。ＣＴ显示２０例一侧上颌窦均受累，５例同侧筛窦亦被侵犯。１８例上颌窦炎性病变中见斑点斑块状钙化。１８例见上颌窦窦壁的骨质侵蚀破坏和增生硬化。结论　ＣＴ尤其是冠状位ＣＴ是显示副鼻窦的解剖结构和诊断霉菌性副鼻窦炎的重要手段。Purpose Twenty cases of histopathologically confirmed fungal infection of the paranasal sinuses were studied with review of literature,in order to increase the recognition and evaluate CT in diagnosis of the disease. Materials and methods Axial CT scans were performed in all cases,and both axial and coronal scans were done in & cases. Both CT manifestations and pathologic findings were analysed. Results Under microscope, 15 cases of aspergillosis and 3 cases of mucormycosis were found;the classification simply could not be made in the other two cases. The unilateral maxillary sinuses of all cases were involved on CT scans,with the ipsilateral ethmoid sinuses invaded in 5 individuals. Speckled calcification was seen in the inflammatory exudation within the sinuses in 18 cases. In most patients, 18 out of 20,the adjacent bony structures showed local areas of erosion or/and sclerosis. Conclusion CT,especially the coronal view,is the choice in the display of anatomical structures and diagnosis of fungal infections of the paranasal sinuses.

关 键 词：副鼻窦炎 霉菌性 病理 CT 诊断 

分 类 号：R765.410.4[医药卫生—耳鼻咽喉科]