上颌窦疾病致骨质改变74例MSCT分析  

Analysis of 74 cases of MSCT caused by the change of bone disease of maxillary sinus

作　　者：王亮亮[1] 

机构地区：[1]山东省胜利石油管理局河口医院放射科,山东东营257200

出　　处：《医学影像学杂志》2015年第10期1748-1752,共5页Journal of Medical Imaging

摘　　要：目的利用MSCT对上颌窦疾病引起骨质病变的探讨与分析,了解MSCT对上颌窦骨质改变及其对良恶性疾病的诊断与鉴别诊断的诊断价值。方法回顾性分析74例上颌窦良恶性疾病,对照病理结果进行探讨与分析,通过MSCT扫描及图像后处理,从冠状位、矢状位、轴位及容积再现图像对上颌窦病变引起的骨质改变进行观察,分别从以下几个方面对良恶性上颌窦病变进行判断:是否存在骨质改变,骨质改变发生部位,侵及范围,骨质改变类型。结果良恶性病变引起骨质病变出现率分别为77.8%(28/36)和100%(38/38)(P<0.05)。良恶性上颌窦病变骨质改变类型中骨质破坏分别为52.8%(19/36)和97.4%(37/38)(P<0.05);骨质膨胀为11.1%(4/36)和57.9%(22/38)(P<0.05);骨质硬化为36.1%(13/36)和94.7%(36/38)(P<0.05);骨质直接中断为27.8%(10/36)和81.6%(31/38)(P<0.05)。结论认真分析上颌窦疾病引起骨质病变的影像学表现,MSCT对上颌窦良恶性疾病的诊断具有重要价值。Objective To explor the diagnostic value of MSCT about the bone lesions of maxillary sinus disease and the differential diagnosis of maxilla sinus disease between benign and malignant disease by MSCT after discussing and analyzing the hone lesions of maxillary sinus. Methods 74 cases with maxillary sinus conformed by surgery or follow up were analyzed and discussed. All the cases were performed in volume scan and the post-processing of imaging was performed by use of the software package at the workstation. Most of all the bone changes can be observed by coronal, sagittal, axial, as well as volume rendering technique （VRT）. Therefore , the bone lesions of benign and malignant about maxillary sinus can be estimated from following several aspects of bone changes in order to differentiate the benign and malignant disease on maxillary sinus： whether there were bone changes or not, and the location,scope, type, and the incidence age of bone changes. Based on the above aspects of bone changes about maxillary sinus, we analyed maxillary sinus disease by applica tion of statistical theory, and differentiated the bone lesions between benign and malignant. Results The bone changes caused by benign and malignant diseases were 77.8% （28/36） and 100% （38/38）（ P 〈〈0.05） respectively. In benign and malignant lesions, the incidence of bone destruction was 52.8%（19/36） and 97.4 % （37/38）（ P〈0.05） respectively between benign and malignant lesions, bone expansion and reconstruction was 11. 1%（4/36） and 57.9%（22/38） （ P〈 0. 05） respectively, osteosclerosis was 36.1% （13/36） and 94.7% （36/38）（ P 〈0.05） respectively, bone discontinue directly was 27.8%（10/36） and 81.6%（31/38）（ P〈0.05） respectively. Conclusion It is very important to analyse the location, scope, type of bone changes to assess the diagnostic value of MSCT and to differentiate benign and malignant maxillary sinus diseases caused bone change.

关 键 词：上颌窦 骨质病变 体层摄影术 X线计算机 

分 类 号：R765.5[医药卫生—耳鼻咽喉科] R814.42[医药卫生—临床医学]