分析超声和CT在茎突综合征诊断中的价值  

The diagnostic value of ultrasound and CT for styloid process syndrome

作　　者：臧依柔 陈宣妤 孙谢璐 严志汉[1] 叶佩佩 冯朱斌 崔凌雪 蔡艳芝 ZANG Yi-rou;CHEN Xuan-yu;SUN Xie-lu;YAN Zhi-han;YE Pei-pei;FENG Zhu-bin;CUI Ling-xue;CAI Yan-zhi(Yuying Children's Hospital,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou Zhejiang 325000,China;Yueqing Municipal Hospital,Wenzhou Medical University,Wenzhou Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第二医院育英儿童医院,浙江温州325000 [2]温州医科大学附属乐清市医院,浙江温州325000

出　　处：《中国临床医学影像杂志》2025年第2期85-89,共5页Journal of China Clinic Medical Imaging

基　　金：温州市科技局项目(Y2023536)。

摘　　要：目的:分析咽旁间隙超声在茎突综合征中的诊断价值。方法:选取临床确诊SPS病例52例共67侧过长茎突作为观察组,同期选取健康人员78例共156侧茎突作为对照组,均行咽旁间隙超声和螺旋CT检查,测量茎突长、茎突-扁桃体距离和茎突-颈内动脉间距等。结果:通过超声测量和CT测值观察组比较,发现两组茎突长、茎突-扁桃体距离、茎突-颈内动脉间距的结果对比差异有统计学意义。超声与CT测量的茎突长、茎突-扁桃体距离,茎突长、茎突-颈内动脉间距超声与CT测值呈强正相关(r=0.839、0.785、0.684)。超声测量茎突长与茎突-扁桃体距离呈强负相关(r=-0.749);CT测量茎突-颈内动脉间距与茎突长度呈强负相关(r=-0.817)。比较观察组与对照组的茎突长、茎突-扁桃体距离、茎突-颈内动脉间距超声与CT测值差异有统计学意义。通过ROC曲线下面积(AUC)分析可知,超声测量茎突长、茎突-扁桃体距离超声测值对SPS诊断性能良好。结论:超声与CT所获茎突综合征参数存在相关性;其中茎突-扁桃体距离、茎突长、茎突-颈内动脉间距超声测值与CT呈强正相关。超声在茎突综合征的诊断中具有良好的诊断效能,值得临床上推广应用。Objective:To analyse the diagnostic value of parapharyngeal space ultrasound in the diagnosis of styloid process syndrome(SPS).Methods:Fifty-two cases of clinically diagnosed SPS with 67 overgrown styloid processes were selected as the observation group,and 78 cases of healthy persons with 156 styloid processes were selected as the control group.Ul-trasonography of the parapharyngeal space and helical CT were performed to measure styloid processes,styloid process-tonsil distance,and styloid process-internal carotid artery distance.Results:In ultrasound and CT measurements of the observation group,there were strong positive correlation between the styloid process length,styloid process-tonsil distance,and styloid pro-cess-internal carotid artery spacing(r=0.839,0.785 and 0.684).In ultrasound measurement,there was strong negative correlation between styloid process caudal length and styloid processcaudal-tonsil distance(r=-0.749).In CT measurement,there was strong negative correlation between styloid process-internal carotid artery spacing and styloid process length(r=-0.817).By comparing the ultrasound and CT measurements,statistically significant differences were found between the observation group and the control group in the comparison of the results of the styloid process length,styloid process-tonsil distance,and styloid process-internal carotid artery spacing.The area under the ROC curve(AUC)indicated that ultrasound measurements of styloid process length and styloid process tonsil distance had good diagnostic performance for SPS.Conclusion:The parameters of styloid process syndrome obtained by ultrasound were correlated with those of CT.The styloid process length,styloid processtonsil distance,and styloid process-internal carotid artery spacing measured by ultrasound were highly positively correlated with CT measurements.It has diagnostic efficacy in the diagnosis of SPS and is worthy of promotion and application in the clinic.

关 键 词：咽旁间隙 超声检查 体层摄影术 螺旋计算机 

分 类 号：R766.5[医药卫生—耳鼻咽喉科] R445.2[医药卫生—临床医学] R814.42