上颌窦曲菌病的CT诊断(附12例报告)  

CT diagnosis of aspergillosis in maxillary sinus

作　　者：韩丹[1] 李森林[1] 马黎 

机构地区：[1]昆明医学院第一附属医院放射科,650031 [2]云南省锡业公司职工医院放射科

出　　处：《中华放射学杂志》1999年第9期637-638,共2页Chinese Journal of Radiology

摘　　要：目的　探讨上颌窦曲菌病的CT表现及诊断价值。方法　对 12例经手术病理证实为上颌窦曲菌病的影像学、临床及手术病理资料进行回顾性分析。结果　CT表现 :( 1)上颌窦内不均匀性软组织密度影 ;( 2 )与窦壁无关的钙化 ;( 3 )局限性骨质增生和破坏 ;( 4 )仅累及一侧上颌窦 ,少累及其他鼻窦。结论　该病具有较特征的CT表现 ,85 %以上的病人可获得诊断。CT可明确病变的部位及范围 ,是首选的影像学检查方法。Objective To evaluate CT diagnostic value in maxillary sinus asperillosis Methods 12 cases vertified by surgery and pathology were collected, their imaging, clinical and pathological features were retrospectively analysed Results CT specific sign included: (1)Heterogeneous opacification in maxillary sinus (2)Calcifilation not related with sinus wall (3)Localized bone proliferation and destruction in sinus wall (4)The unilaterall location Conclusions According to the specific CT appearances diagnosis can be established in 85% of patients CT is the imaging modality of choce in aspergillosis of maxillary sinus by defining the location and extent of lesion

关 键 词：曲霉菌属 上颌窦炎 CT 诊断 

分 类 号：R765.420.4[医药卫生—耳鼻咽喉科] R816.96[医药卫生—临床医学]