增强CT在口腔颌面颈部软组织肿块中的应用诊断分析  

The study of diagnostic application of enhanced CT in oral maxillofacial and neck soft tissue lump

作　　者：文珊辉 王铁梅[1] 张磊[2] 林梓桐[1] 刘澍[1] WEN Shan-hui;WANG Tie-mei;ZHANG Lei;LIN Zi-tong;LIU Shu(Department of Oral and Maxillofacial Radiology,Nanjing Stomatological Hospital,Medical School of Nanjing University,Jiangsu Nanjing 210008,China;Department of Oral Pathology,Nanjing Stomatological Hospital,Medical School of Nanjing University,Jiangsu Nanjing 210008,China)

机构地区：[1]南京市口腔医院·南京大学医学院附属口腔医院口腔颌面医学影像科,江苏南京210008 [2]南京市口腔医院·南京大学医学院附属口腔医院口腔病理科,江苏南京210008

出　　处：《临床口腔医学杂志》2020年第11期662-665,共4页Journal of Clinical Stomatology

基　　金：江苏省南京市医学科技发展项目(YKK15116);江苏省自然科学基金面上项目(BK20150089)。

摘　　要：目的:回顾性分析增强CT的影像学表现,评估增强CT在判断口腔颌面颈部软组织肿块良恶性的诊断价值。方法:搜集2017年1月~2019年12月在我院就诊资料完整的颌面颈部软组织肿块患者67例,对其增强CT表现进行分析统计,观察分析肿块的边界清晰、肿块是否累及多个间隙、肿块边缘强化程度、肿块内部强化是否均匀、有无中心液化坏死区域以及中心液化区有无强化等参数。结果:肿块边界清晰与否在良恶性肿瘤中有统计学差异,良性肿块边界不清晰占总数7.5%,恶性肿瘤边界不清46.3%。病变是否累及多个间隙在良恶性肿块中有统计学差异,良性肿块累及多个间隙比例3.0%,恶性比例20.9%。肿块边缘强化程度、肿块内部强化是否均匀、有无中心液化坏死区域以及液化中心区有无强化,在良恶性肿瘤中均无统计学差异。结论:CT增强的影像学表现中,肿块边界清晰与否、肿块是否累及多个间隙等在判断病变良恶性肿瘤影像诊断中具有一定的价值。Objective:Retrospectively analyze the imaging features of enhanced CT,to evaluate the diagnostic value of enhanced CT in judging benign and malignant in oral maxillofacial and neck soft tissue lump.Methods:Sixty-seven inpatients with complete data from our hospital during January 2017 to December 2019 were selected.Observed and analyzed statistically whether the boundary of the lump was clear,whether the lump involved multiple gaps,the extent of lump edge enhancement,whether the internal enhancement was uniform,presence or absence of central liquefaction or necrosis,and whether the central liquefaction area was enhanced.Results:Whether the lump boundary was clear was statistically significant in benign and malignant cases,the benign boundary unclear accounted for 7.5%of the total,the malignant boundary unclear was 46.3%.Lump involving multiple gaps was statistically significant in benign or malignant cases,benignity involving multiple gaps was 3.0%,malignancy involving multiple gaps was 20.9%.In term of whether the he internal internal enhancement was uniform,the extent of lump edge enhancement,whether there was a central liquefaction or necrosis area,and whether enhanced in the liquefaction center area,there were no statistical difference between benign and malignant.Conclusion:In CT-enhanced imaging,the lump boundary was clear,whether the lump involved multiple gap,which had certain diagnostic value in judging the benign and malignant lump.

关 键 词：增强CT 口腔颌面颈部 软组织肿块 良恶性 

分 类 号：R816.98[医药卫生—放射医学] R739.8[医药卫生—临床医学]