CT和MRI评估口腔癌下颌骨受累的临床对研究  

The Study of CT and MRI in the Evaluation of Mandibular Involvement in Oral Cancer

作　　者：王珊 孙翔宇[1] 白阳[1] WANG Shan;SUN Xiang-yu;BAI Yang(Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjiang Province,China)

机构地区：[1]哈尔滨医科大学附属第一医院口腔颌面外科一病房,黑龙江哈尔滨150001

出　　处：《中国CT和MRI杂志》2025年第1期33-34,共2页Chinese Journal of CT and MRI

摘　　要：目的 本研究旨在评价计算机断层扫描(CT)和磁共振成像(MRI)在口腔鳞状细胞癌下颌骨侵犯中的诊断价值,以期为临床诊治提供参考。方法 对98例口底、下牙槽、磨牙后三角区鳞状细胞癌患者的临床资料进行回顾性分析。术前CT和MRI扫描由一名专科医师复查,原始组织由3名病理学家复查。结果45例患者进入最终研究。CT和MRI联合诊断的敏感性为100%,特异性为72%。结论 CT和MRI联合检查对口腔癌侵犯下颌骨有一定的诊断价值,但假阳性率较高。Objective This study aims to evaluate the diagnostic value of computed tomography(CT)and magnetic resonance imaging(MRI)in mandibular invasion of oral squamous cell carcinoma,in order to provide reference for clinical diagnosis and treatment.Methods A retrospective analysis was conducted on the clinical data of 98 patients with squamous cell carcinoma of the floor of the mouth,inferior alveolar,and posterior molar triangle.Preoperative CT and MRI scans were reviewed by a specialist physician,and the original tissue was reviewed by three pathologists.Results 45 patients entered the final study.The sensitivity and specificity of the combined diagnosis of CT and MRI are 100%and 72%,respectively.Conclusion The combined examination of CT and MRI has certain diagnostic value for oral cancer invading the mandible,but the false positive rate is relatively high.

关 键 词：计算机断层扫描 磁共振成像 口腔鳞状细胞癌 下颌骨侵犯 

分 类 号：R445.2[医药卫生—影像医学与核医学]