46例鼻窦病变的放射学表现与病理改变比较分析  

Comparative radiological and pathologic study on 46 cases of rhinosinusopathia

作　　者：林安明 陈仕高[2] 

机构地区：[1]成都铁路分局医院放射科,四川610081 [2]成都铁路分局医院病理科,四川610081

出　　处：《重庆医学》2011年第1期32-33,F0003,共3页Chongqing medicine

摘　　要：目的研究鼻窦病变的放射影像与病理表现的关系。方法比较46例鼻窦病变的手术前后诊断,并评价其放射诊断的意义。结果 29例慢性鼻窦炎手术前后诊断一致;真菌性鼻窦炎11例,误诊1例;非霍奇金淋巴瘤3例,术前误诊2例。鼻窦非霍奇金淋巴瘤早期放射影像无明显骨质破坏,缺乏特征性。慢性鼻窦炎各窦腔病理改变不一致,放射影像常显示窦腔均匀密度增高。结论 CT检查能良好地显示真菌性鼻窦炎病变。Objective To study the relationships of preoperative radio imaging to the pathologic changes on rhinosinusopathia.Methods Comparing the preoperative with the postoperative diagnosis of 46 cases of rhinosinusopathia,and the significance of radiological diagnosis were evaluated.Results The preoperative and the postoperative diagnosis of 29 cases of chronic sinusitis were coincident.There were 11 cases of fungal sinusitis and 3 cases of non-Hodgkin,slymphoma,in which one and two cases were misdiagnosed respectively.The pathologic changes of the cavities of nasal sinuses in chronic sinusitis were not coincident,and the increased uniform density was exhibited frequently in radio imaging.Conclusion The lesions of fungal sinusitis can be exhibited finely by CT scanning.The radio imaging of nasal sinuses during the early stage of non-Hodgkin′s lymphoma don′t exhibited bony erosion obviously and didn′t have characteristics.

关 键 词：鼻窦 病理学 体层摄影术 X线计算机 

分 类 号：R765[医药卫生—耳鼻咽喉科]