回顾46例胆脂瘤型中耳炎的MSCT表现  

Retrospective analysis of 46 cases MSCT manifestations in otitis media with cholesteatoma

作　　者：李建钢[1] 卢占兴[1] 有涛[1] 王红旗[1] 陈柄强[2] 王桂枝[3] 

机构地区：[1]河南平顶山煤业集团总医院放射科,河南平顶山467000 [2]河南平顶山煤业集团总医院耳鼻喉科,河南平顶山467000 [3]河南平顶山煤业集团总医院病理科,河南平顶山467000

出　　处：《医学信息（医药版）》2008年第10期23-26,共4页

摘　　要：目的：探讨胆脂瘤型中耳炎的MSCT表现特征，提高对该病诊断的准确性。方法：回顾分析经我院检查手术病理对照的46例胆脂瘤型中耳炎MScT图像质料。结果：软组织密度影符合率100％，面神经管破坏符合率60％，镫骨底板骨质不能清晰显示，其余骨质破坏符合率均为100％。鼓室及鼓窭壁骨质破坏边缘清晰，部分硬化。乳突大部分为硬化型及板障型。结论：MSCT诊断胆脂瘤型中耳炎的价值较高，能显示中耳内细小的结构，可以为临床治疗提供可靠的依据。Objective： To explore the MSCT features of otitis media with cholesteatoma, to improve the accuracy of diagnosis. Method： MSCT manifestations of 46 cases of otits media with cholesteatoma were retrospectively analysized. All the cases were confirmed by operation and pathology in our hospital. Results： soft tissue manifestations coincidence is 100%, destroyed facial nerve canal is 60%, sclerotin of stapes baseplate can＇t be manifested clearly, accordance of all the other sclerotin destroyed is 100%.The edges of tympanic cavity and antrum sclerotin destroyed are clear, some sclerosed. Most of mastoid are classified sclerosed type and diploetic type. Conclusion： The use of MSCT in diagnosis is valuable in otitis media with cholesteatoma which can manifest the leptos structure of middle ear well and can provide reliable evidence for clinical treatment.

关 键 词：胆脂瘤型中耳炎 MSCT 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]