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作 者:石宇超 刘媛媛[1] 刁其林 王虎[1] 游梦[1] SHI Yuchao;LIU Yuanyuan;DIAO Qilin;WANG Hu;YOU Meng(State Key Laboratory of Oral Diseases,National Clinical Research Center for Oral Diseases,Department of Radiology,West China Hospitalof Stomatology,Sichuan University,Chengdu,Sichuan 610041,P.R.China)
机构地区:[1]口腔疾病研究国家重点实验室国家口腔疾病临床研究中心四川大学华西口腔医院放射科
出 处:《华西医学》2019年第6期698-705,共8页West China Medical Journal
基 金:国家自然科学基金(31600400);成都市科技局惠民研发项目(2015-HM01-00348-SF)
摘 要:发生在面颈部的软组织钙化及骨化常常在颌面部影像学检查,特别是全景片检查中被偶然发现。其由于发生部位以及病因的多样性,很容易被口腔医生甚至影像专科医生忽略,或难以辨识其类型及临床相关性,特别是对于伴随高风险疾病的钙化骨化,漏诊误诊容易造成病情延误。该综述旨在通过文献回顾结合对四川大学华西口腔医院的全景疾病数据库筛查、阅片,选取典型全景影像,总结软组织异常高密度影像特征,并探讨其临床相关性,帮助口腔影像诊断医师及临床医师认识全景片中的异常钙化,提高对相关疾病的筛查和预防。Soft tissue opacities are often found by chance during radiographic examinations, especially in panoramic radiography. Because of the diversity of locations and causes, it is easily overlooked by dentists and even radiologists. Even if abnormal calcification is detected, it is difficult to identify its category and clinical relevance. For some soft tissue opacities associated with high-risk diseases, misdiagnosis is likely to delay treatment. Through reviewing the literature and screening the panoramic images from the disease database of West China Hospital of Stomatology, Sichuan University, this review summarizes and classifies the soft tissue opacities appearing in panoramic images, and discusses the clinical correlation to provide the reference for diagnosis, treatment, and prevention of related diseases.
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