影像学诊断罕见发生于鼻咽部的颈部坏死性筋膜炎临床案例分析  

Imaging Diagnosis of a Rare Case of Cervical Necrotizing Fasciitis(CNF)in the Nasopharynx:A Clinical Case Analysis

作　　者：邓侃 徐慧 陈玲玲 龚玲燕 李树平 DENG Kan;XU Hui;CHEN Lingling;GONG Lingyan;LI Shuping(Department of Radiology,Naval Medical Center of People's Liberation Army,Naval Medical University,Shanghai 200052,China)

机构地区：[1]海军军医大学中国人民解放军海军特色医学中心放射诊断科,上海200052

出　　处：《CT理论与应用研究（中英文）》2023年第2期271-277,共7页Computerized Tomography Theory and Applications

摘　　要：本文介绍1例罕见的发生于鼻咽部的颈部坏死性筋膜炎(CNF)。该患者以顽固性慢性化脓性中耳炎就诊,进行包括CT、MRI及PET/CT在内的影像学检查,均误诊为鼻咽癌。最终该患者通过鼻咽肿物活检术确诊为CNF。本文通过回顾性分析该患者的影像学表现及误诊原因,总结出CT、MRI、PET/CT在CNF早期诊断中的特征和要点,为其临床精准诊断提供重要的帮助。This case report describes a rare case of cervical necrotizing fasciitis(CNF)of the nasopharynx.The patient presented with intractable chronic suppurative otitis media and underwent radiological examination including CT,MRI,and PET/CT.All of the images misdiagnosed this condition as nasopharyngeal carcinoma.Finally,the patient underwent a nasopharyngeal mass biopsy and CNF was diagnosed.A retrospective analysis of the radiological scans was performed and the causes of the misdiagnosis were evaluated.The CT,MRI,and PET/CT characteristics and key features for the early diagnosis of CNF were summarized.Our findings may contribute to current knowledge of the precise diagnosis of CNF.

关 键 词：PET/CT 颈部 坏死性筋膜炎 放射学 

分 类 号：R814[医药卫生—影像医学与核医学] R445[医药卫生—放射医学]