Tolosa-Hunt综合征的MRI表现及诊断价值  

MRI Manifestations and Diagnostic Value of Tolosa-Hunt Syndrome

作　　者：夏广明[1] 黄嘉敏[1] 刘永辉[1] 陈锦灿[1] 

机构地区：[1]肇庆市第一人民医院,广东肇庆526020

出　　处：《现代诊断与治疗》2016年第14期2554-2556,共3页Modern Diagnosis and Treatment

摘　　要：目的探究Tolosa-Hunt综合征的MRI表现及诊断价值。方法选取笔者所在医院2014年8月-2015年8月收治的60例Tolosa-Hunt综合征患者,依据诊断方式,将这些患者分为对照组（n=30）和研究组（n=30）两组。给予对照组应用CT诊断,给予研究组患者应用MRI诊断,分析Tolosa-Hunt综合征的MRI表现,对比观察两组患者临床诊断价值。结果在两组患者中,研究组患者中MRI能够清晰显示Tolosa-Hunt综合征患者,均为单侧发病,其MRI表现为病变侧海绵窦形态改变,T1WI上呈等或稍低信号,T2WI呈稍高信号,边缘清楚,颈内动脉被包绕,管腔不同程度变窄,增强扫描病灶明显强化;应用MRI诊断效果高于CT诊断,疾病检出率较对照组高,MRI的检出率为83.3%;对照组CT诊断检出率为66.7%,两组之间差异具有统计学意义（P〈0.05）。结论临床中,对于临床究Tolosa-Hunt综合征诊断中,MRI诊断中,可以清楚反映病灶内成分,提高临床疾病检出率,值得在实际中推广。Objective To discuss the MRI manifestations and diagnostic value of Tolosa-Hunt Syndrome.Methods 60 patients with Tolosa-Hunt Syndrome were selected from August 2014 to August 2015 in our Hospitals. According to the diagnosis way, all patients were divided into control group（n=30） and research group（n=30）. control group used CT diagnosis, research group used at the application of MRI in the diagnosis of patients, analyzed MRI manifestation of Tolosa- Hunt Syndrome, compared two groups of patients with clinical diagnostic value.Results In two groups of patients, the team in patients with MRI could clearly show Tolosa- Hunt Syndrome patients, were unilateral onset, the MRI manifestation of cavernous sinus lesions side form change, showed or slightly low signal on T1 WI, T2 WI were slightly high signal, edge was clear, internal carotid artery wrapped around,lumen narrowing, different level enhancement scan lesions significantly improved;Application effect was higher than that of CT, MRI diagnosis of disease high detection rate was higher than the control group, MRI detection rate was 83.3%; Control group CT detection rate was 66.7%, statistically significant difference between the two groups（P〈0.05）.Conclusions In clinical, for clinical investigate Tolosa- Hunt Syndrome diagnosis, MRI in the diagnosis, can clearly reflect lesions in composition, improve clinical disease detection,it＇s worth for further clinical promotion.

关 键 词：TOLOSA-HUNT综合征 诊断 MRI 临床 

分 类 号：R445.2[医药卫生—影像医学与核医学]