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螺旋CT诊断颌骨牙源性囊肿与造釉细胞瘤的价值 被引量:16

Diagnostic Value of Spiral CT Scanning in Ondontogenic Cysts and Ameloblastomas
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摘要 目的 :探讨螺旋CT诊断颌骨牙源性囊肿与造釉细胞瘤的价值。材料和方法 :回顾性分析经手术和病理证实的13例牙源性囊肿和 7例造釉细胞瘤的螺旋CT表现 ,观察病变形态和结构特征。结果 :角化囊肿 5例 ,含牙囊肿 6例 ,根尖囊肿 2例 ,造釉细胞瘤 7例。牙源性囊肿主要表现为单房型 ,边缘清楚伴硬化。造釉细胞瘤表现为多房型或单房分叶状 ,膨胀性生长伴邻近骨壁破坏。结论 :牙源性囊肿与造釉细胞瘤多具有特征性CT表现 ,螺旋CT扫描能提供病变的定位、定性和范围可靠信息。 Purpose: To evaluate the diagnostic value of spiral CT in ondontogenic cysts and ameloblastomas. Materials and Methods: Spiral CT features of ondontogenic cysts (n=13) and ameloblastomas (n=7), which were proved by surgery and pathology, were retrospectively studied, and the configuration and structure of the lesions were observed. Results: The ondontogenic cysts, including keratotic cyst (n=5), dentigerous cyst(n=6) and periapical cyst(n=2) , mainly displayed unilocular in shape and distinct margin with sclerosis.Ameloblastomas mainly displayed multilocular or lobulated in shape and markedly expanded growth with disruption of the adjacent cortex. Conclusion: Most lesions of ondontogenic cysts and ameloblastomas have characteristic manifestation in CT. Spiral CT can provide reliable information about site,qualitative analysis and extension of lesion as well.
出处 《中国医学影像学杂志》 CSCD 2004年第4期266-268,共3页 Chinese Journal of Medical Imaging
关键词 颌骨 牙源性囊肿 造釉细胞瘤 螺旋CT诊断 肿瘤 spiral CT ondontogenic cysts ameloblastomas
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