CT在诊断和鉴别鼻及鼻窦肿瘤中的作用

发布时间：2018-03-26 20:25

本文选题：计算机断层扫描术　切入点：鼻腔　出处：《中国医学文摘(耳鼻咽喉科学)》2017年02期

【摘要】：目的探讨CT在诊断和鉴别诊断鼻及鼻窦肿瘤中起到的作用。方法以我院2013年6月~2016年6月期间收治的60例鼻及鼻窦肿瘤患者为此次研究对象,对患者鼻腔行CT检查,并按照检查结果将患者分为恶性肿瘤组和良性肿瘤组。恶性肿瘤组15例患者,良性肿瘤组45例患者。观察比较两组患者的肿瘤形态、密度、窦壁骨质破坏、周围脂肪层侵犯情况和窦腔外软组织肿块等情况。结果在本次研究中,恶性肿瘤组的窦腔外的软组织肿块、窦壁骨质侵犯性破坏、肿瘤对窦腔周围脂肪层的侵犯消失情况都明显高于良性肿瘤组,两组比较存在明显差异,有统计学意义。但两组患者的软组织肿块形态不规则、密度不均匀情况对比无统计学意义。结论 CT诊断能够对鼻及鼻窦肿瘤的病变范围进行有效观察,且可以鉴别恶性肿瘤和良性肿瘤,能够用于临床的鼻及鼻窦肿瘤诊断检查中。
[Abstract]:Objective to explore the role of CT in the diagnosis and differential diagnosis of nasal and paranasal sinus tumors. Methods 60 patients with nasal and paranasal sinus tumors admitted in our hospital from June 2013 to June 2016 were studied. According to the examination results, the patients were divided into malignant tumor group and benign tumor group. There were 15 patients with malignant tumor and 45 patients with benign tumor. The tumor morphology, density and bone destruction of sinus wall were observed and compared between the two groups. Results in this study, the mass of soft tissue outside the cavity of the sinus and the bone of the wall of the sinus were destroyed in the malignant tumor group. The invasion and disappearance of the fat layer around the sinus cavity were significantly higher in the tumor group than in the benign tumor group, and there was significant difference between the two groups, but the soft tissue masses in the two groups were irregular in shape. Conclusion CT diagnosis can effectively observe the pathological range of nasal and paranasal sinus tumors, and can be used to differentiate malignant and benign tumors from benign ones, and can be used in clinical diagnosis of nasal and paranasal sinus tumors.
【作者单位】：白银市第一人民医院血液肿瘤科;
【分类号】：R739.62;R730.44

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