CT与MRI在鼻咽癌诊断中的应用效果比较  

Comparison of the Application Effect of CT and MRI in the Diagnosis of Nasopharyngeal Carcinoma

作　　者：董乐[1] Dong Le(Macheng People's Hospital,Macheng 438300,Hubei Province,China)

机构地区：[1]麻城市人民医院,湖北麻城438300

出　　处：《中外医药研究》2024年第7期117-119,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:比较CT与MRI在鼻咽癌诊断中的应用效果。方法:选取2016年6月—2018年6月麻城市人民医院收治的鼻咽癌患者112例作为研究对象。所有患者接受MRI和CT检查,以病理学诊断结果为“金标准”,比较CT和MRI在鼻咽部和颅底部的检出率。结果:MRI诊断在口咽、颞下窝、翼腭窝、海绵窦、咽旁间隙部位的总检出率高于CT诊断,差异有统计学意义(P<0.0001);MRI诊断在斜坡、蝶骨大翼、卵圆孔、破裂孔部位的总检出率高于CT诊断,差异有统计学意义(P<0.0001)。结论:MRI诊断鼻咽部和颅底部的检出率更高,可作为鼻咽癌患者的首选检查方法,以指导临床治疗方案的制定。Objective:To compare the application effect of CT and MRI in the diagnosis of nasopharyngeal carcinoma.Methods:One hundred and twelve patients with nasopharyngeal carcinoma admitted to Macheng People's Hospital from June 2016 to June 2018 were selected as the study subjects.All patients were examined by MRI and CT,and the detection rates of CT and MRI in the nasopharynx and skull base were compared with the pathologic diagnosis as the"gold standard".Results:The overall detection rate of MRI was higher than that of CT in the oropharynx,infratemporal fossa,pterygopalatine fossa,cavernous sinus,and parapharyngeal space,with a statistically significant difference(P<0.0001);the total detection rate of MRI diagnosis was higher than that of CT diagnosis in the sites of slope,pterygoid greater wing,foramen ovalis,and rupture foramen,and the difference was statistically significant(P<0.0001).Conclusion:MRI diagnosis of nasopharynx and skull base has a higher detection rate and can be used as the preferred examination method for nasopharyngeal carcinoma patients to guide the development of clinical treatment plan.

关 键 词：CT MRI 鼻咽癌 

分 类 号：R739.6[医药卫生—肿瘤]