真菌性鼻-鼻窦炎台合并细菌感染的CT影像表现评价  

CT findings of fungal rhinosinusitis with bacterial infection

作　　者：檀丽媛 孟秋凤 Tan Liyuan;Meng Qiufeng(Dezhou Traditional Chinese Medicine Hospital,Dezhou,Shandong,253000,China)

机构地区：[1]德州市中医院,山东德州253000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第6期94-96,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的讨论真菌性鼻-鼻窦炎合并细菌感染的CT影像表现。方法开展回顾性试验分析,入选80例真菌性鼻-鼻窦炎患者主要于2021年4月-2023年4月接受病情诊疗,将其有无合并细菌感染进行分组,即真菌性鼻-鼻窦炎未合并细菌感染的40例患者纳入至对照组,真菌性鼻-鼻窦炎合并细菌感染的40例患者纳入至研究组。入选患者均接受CT检查,而后观察两组病灶部位、病变特征、鼻窦壁受损程度指标。结果两组上颌窦、蝶窦、筛窦、多窦病灶部位发生机率无统计学意义(P>0.05);且均集中多发生于上颌窦。两组全员存在鼻窦壁增厚病变特征,研究组鼻窦内软组织影及钙化灶病变特征发生机率虽然高于对照组,但无统计学意义(P>0.05);研究组液平病变特征机率的40%明显高于对照组的0%,有统计学意义(P<0.05)。研究组鼻窦壁无受损及轻度轻度局限受损机率虽然低于对照组,但无统计学意义(P>0.05);研究组鼻窦壁重度广泛受损机率的32.5%明显高于对照组的7.5%,有统计学意义(P<0.05)。结论真菌性鼻-鼻窦炎合并细菌感染CT检查下病灶主要位于上颌窦,有鼻窦壁增厚、鼻窦内软组织影及钙化灶表现,尤其液平、鼻窦壁重度广泛受损程度明显比未合并细菌感染者严重。Objective To discuss the CT findings of fungal rhinosinusitis complicated with bacterial infection.Method A retrospective analysis was carried out,and 80 patients with fungal rhinosinusitis were selected to receive diagnosis and treatment mainly from April 2021 to April 2023.They were divided into groups with or without bacterial infection,that is,40 patients with fungal rhinosinusitis without bacterial infection were included in the control group.Forty patients with fungal rhinosinusitis combined with bacterial infection were included in the study group.All the enrolled patients received CT examination,and then observed the lesion site,lesion characteristics,and indicators of the degree of damage to the sinus wall in the two groups.Results There was no statistical significance in the incidence rates of maxillary sinus,sphenoid sinus,ethmoid sinus and multi-sinus lesions between the two groups(P>0.05).And all concentrated in maxillary sinus.The incidence of soft tissue shadow and calcification lesion in the study group was higher than that in the control group,but there was no statistical significance(P>0.05).The characteristic probability of liquid level lesion in the study group was 40%,which was significantly higher than that in the control group(0%),with statistical significance(P<0.05).The incidence of no damage to the sinus wall in the study group was lower than that in the control group,but there was no statistical significance(P>0.05).The rate of severe extensive damage of the sinus wall in the study group(32.5%)was significantly higher than that in the control group(7.5%),with statistical significance(P<0.05).Conclusion The lesions of fungal nasosinusitis complicated with bacterial infection were mainly located in the maxillary sinuses under CT examination,with thickening of the sinus wall,soft tissue shadow in the sinus and calcification foci.In particular,the severity of severe and extensive damage of the liquid level and the sinus wall was significantly worse than that of the patients without bacteria

关 键 词：真菌性鼻-鼻窦炎 细菌感染 CT 检查 

分 类 号：R76[医药卫生—耳鼻咽喉科]