摘要
目的探讨慢性中耳乳突炎的X线平片与CT征象及诊断价值。方法对手术证实30例慢性中耳乳突炎患者术前进行X线平片与CT扫描并与手术病理结果对照分析。结果胆脂瘤9例,表现为中耳腔、上鼓室以及鼓窦内团块状软组织密度影,鼓室、鼓窦壁骨质硬化和破坏,听小骨破坏、移位、消失。肉芽肿型12例,表现鼓室、鼓窦内片状、条状软组织密度影,听小骨破坏不明显。单纯型9例,表现为乳突气房模糊。结论传统X线检查次于CT,CT是慢性中耳乳突炎较为可靠的诊断手段。
Objective To investigate the diagnostic value of X-ray plain film and CT signs on diagnosis chronic middle ear mastoiditis. Methods X-ray plain film and CT scan were preoperatively performed on 30 patients with cronic middle ear mastoiditis varified by operation. The results were compared and analyzed with the pathogenic results. Results Cholesteatomas were found in 9 patients with mass-like soft tissue density shadows in middle ear cavity, superior tympanic cavity and antrum tympanicum, osteosclerosis and bone destruction in tympanic cavity and antrum tympanicum wall, destruction, displacement and disappearance of auditory ossicle. Granulomatous type was found in 12 patients with patchy and strip-like soft tissue density shadows in tympanic cavity and antrum tympanicum and unobvious destruction of auditory ossicet. Simple type was found in 9 patients with blurring of mastoid air cell. Conclusion The traditional examination of X-ray is inferior to CT. CT is the more reliable method to diagnose chronic middle ear mastoid inflammation.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第10期1231-1232,共2页
Chongqing medicine
关键词
中耳炎
胆脂瘤
中耳
肉芽肿
X线平片
体层摄影术
X线计算机
middle ear inflammation
cholesteatomas
middle ear
plain Xray film
tomography, X-ray computer
