真菌性上颌窦炎91例临床及CT影像学分析探索
2020-08-20葛绪波
葛绪波
摘要:目的:探讨对真菌性上颌窦炎诊断时使用CT的临床及影像学分析。方法:在2017年9月-2019年9月的时间段内,选择91例真菌性上颌窦炎患者作为研究组,并选择同时期进行健康体检的患者91例设为对照组,研究组经过手术病理证实为真菌性上颌窦炎,使用CT扫描对所有患者进行诊断,分析研究组的诊断准确率,研究组的临床表现和两组的影像学对比。结果:研究组的诊断准确率与手术病理结果没有差异(P>0.05),研究组影像学的特征均比对照组明显(P<0.05)。结论:对真菌性上颌窦炎诊断时使用CT,诊断准确率较高,真菌性上颌窦炎临床表现主要以脓涕、涕中带血、压痛、面部肿胀、鼻塞伴头痛为主,影像学为高密度不均匀结节状软组织,斑点状、细条状团块钙化灶,骨质增生硬化等,因此诊断有临床推广的价值。
关键词:CT;真菌性上颌窦炎;诊断;影像学;临床表现
中图分类号:R445.3;R765.4+2文献标识码:ADOI:10?郾3969/j.issn.1001-0270.2020.04.17
Clinical and CT Imaging Analysis of 91 Cases of Fungal Maxillary Sinusitis
GE Xu-bo
(Radiology Department, Taian City Fourth People's Hospital, Shandong 271000, China)
Abstract: Objective: To investigate the clinical and CT imaging analysis in the diagnosis of fungal maxillary sinusitis. Methods: In the period from September 2017 to September 2019, 91 cases with fungal maxillary sinusitis were selected as study group, and 91 patients with healthy physical examination at the same time were selected as control group. The study group confirmed fungal maxillary sinusitis by surgical pathology, CT scan was used to diagnose all patients, and the diagnostic accuracy of the study group was analyzed. The study groups clinical manifestation was compared with the imaging of the two groups. Results: The study group was no difference between the diagnostic accuracy and surgical pathology(P>0.05). The imaging characteristic of the study group were more obvious than the control group(P<0.05). Conclusion: CT was used in the diagnosis of fungal maxillary sinusitis, and the diagnosis accuracy was high. The clinical manifestation of fungal maxillary sinusitis is mainly abscess, nostril with blood, tenderness, facial swelling, nasal congestion and headache. Imaging is a high-density and uneven nodular soft tissue, speckle, thin strips of calcified stove, bone hyperplasia and sclerosis, so the diagnosis has clinical value.
Key Words: CT; Fungal Maxillary Sinusitis; Diagnosis; Imaging; Clinical manifestation
真菌性上頜窦炎是临床常见的鼻科疾病,主要由于鼻腔鼻窦被真菌感染所导致的,容易与上颌窦癌混淆,影响治疗[1],因此临床需要对其进行准确诊断,以提高对症治疗的效果。本研究探讨对真菌性上颌窦炎诊断时使用CT的临床及影像学分析。
1 一般资料
1.1 基本资料
在2017年9月-2019年9月的时间段内,选择91例真菌性上颌窦炎患者作为研究组,并选择同时期进行健康体检的患者91例设为对照组,研究组49例女性,42例男性,平均年龄(42.26±8.91)岁。对照组43例女性,48例男性,平均年龄(42.97±9.02)岁。患者在年龄、性别上均可比(P>0.05),所有患者都已经签署了知情同意书,伦理委员会批准,纳入标准:研究组经过手术病理证实为真菌性上颌窦炎,均自愿参与本次研究;排除标准:其他类型鼻炎、耳鼻疾病,恶性肿瘤,无法配合本次研究。
1.2 研究方法
CT诊断:采用进口的多层螺旋CT仪器,患者实行仰卧方式,对患者的头部进行轴位和/或冠状位扫描,层间和间隔5mm,观察患者CT图像。