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作 者:胡辉军[1] 陈娇霞[1] 谭志[1] 云丹丹[1] 程贤文
机构地区:[1]中山大学孙逸仙纪念医院,广东广州510120
出 处:《中国医学创新》2014年第19期55-57,共3页Medical Innovation of China
摘 要:目的:探讨多层螺旋CT(MSCT)对茎突综合征(SPS)的诊断价值。方法:选择本院临床拟诊断SPS的患者32例,行MSCT扫描,三维重建技术测量双侧茎突的长度和茎咽距。结果:32例患者64侧茎突全部显示,其中16侧茎突长度〈30 mm;48侧茎突长度为30~68 mm,平均(32.0±5.6)mm。13侧茎咽距〈20 mm,平均(23.0±2.2)mm。结论:多层螺旋CT能多平面、多角度清晰地显示茎突的立体解剖及其与临近组织的关系,并可直接精确地测量茎突的长度和咽侧壁之间的最短距离,为临床诊断SPS提供可靠依据,并能为手术方案的制定和手术路径的选择提供可靠的信息。Objective:To evaluate the diagnostic value of multi-slice CT (MSCT) in styloid process syndrome (SPS).Method:32 patients with SPS underwent MSCT scans were selected. The length of styloid process and the shortest distance between styloid process and pharynx were measured on CT images with three-dimensional reconstruction technology.Result:Among 64 styloid process in 32 patients, length of styloid process was less than 30 mm in 16 styloid process. The length of styloid process was between 30 and 68 mm in 48 styloid process with an average of (32.0±5.6)mm. The shortest distance between styloid process and pharynx was less than 20 mm in 13 styloid process with an average of (23.0±2.2)mm.Conclusion: MSCT can clearly show the anatomy of the styloid process and its relationship with adjacent tissues by using multi-planar and multi-angle techniques, and can accurately measure the length of styloid process and the shortest distance between styloid process and pharynx. Thus it can be used to clinical accurate diagnosis of SPS and to provide reliable information for planning and choosing the path of surgery.
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