摘要
目的探讨霉菌性鼻窦炎计算机断层显像(Computed Tomography,CT)的特征,提高对其诊断和鉴别诊断的水平。材料与方法回顾性分析23例经手术病理证实的霉菌性鼻窦炎的临床影像学资料。结果曲霉菌病15例,毛霉菌病5例,隐球菌病3例。单侧发病19例;双侧4例;全部病例均累及上颌窦;累及2个以上鼻窦的6例。病变窦腔均表现为密度增高,CT值平均约为65HU;内有小团状、砂粒状、条状极高密度钙化影20例,CT值约为105-210Hu;出现鼻窦骨质破坏8例;窦壁骨质增厚及窦腔缩小者15例。结论霉菌性鼻窦炎在CT表现上具有一定的特征性,单侧上颌窦为主,常伴有钙化病灶,可出现鼻窦窦壁骨质破坏、骨质增厚及窦腔缩小。
Objective To study the Computed Tomography（CT） characteristics of fungal infection of paranasal sinuses. Materials and Methods The clinical imaging data of 23 patients with fungal sinusitials confirmed by operation were analyzed retrospectively. Result Out of all 23 cases, 15 cases of Aspergillosis , 5 cases of mucormycosis, 3 cases of cryDtococcosis. 19 cases were unilateral, 4 cases of bilateral. All cases involved maxillary sinus; 6 cases involved 2 or more of the paranasal sinuses. Sinus cavity showed increased density in all cases. CT value was 65Hu~ 20 cases with calcification, and CT value was 105-210Hm Sinus bone destruction appeared in 8 cases; Sinus wall bone thickening and sinus cavity reduced in 15 cases. Conclusion Fungal sinusitis has certain characteristics on the performance of the CT, which include the involvement of unilateral maxillary sinus, often with calcification, sinus wall bone destruction, bony thickening and reduced size of sinus cavity.
出处
《罕少疾病杂志》
2014年第1期30-32,共3页
Journal of Rare and Uncommon Diseases
关键词
霉菌
鼻窦炎
CT诊断
Fungal infection
Paranasal sinuses
CT
