高分辨螺旋CT面神经管重建成像在贝尔面瘫和亨特综合征中的应用价值

发布时间：2019-05-29 16:07

【摘要】：目的探讨高分辨螺旋CT多平面重建(MPR)和曲面重建(CPR)在亨特综合征、贝尔面瘫中显示面神经管的价值,为诊断及治疗提供可靠的信息。方法回顾性分析北京电力医院耳鼻喉科2014年5月到2015年5月105例亨特综合征(n=42)和贝尔面瘫(n=63)患者的临床及颞骨CT影像学资料,采用多平面重建(MPR)和曲面重建(CPR)两种图像后处理技术对面神经管进行重建,并于相应图像行面神经各段的测量,分析两种面瘫患者面神经各段的差异及两种面瘫各项指标与时间的相关性。结果 1.两种周围性面瘫面神经管患-健侧比较,差异均有统计学意义。2.两种面瘫的相互比较中,亨特综合征面瘫组膝节直径、膝节面积及迷路段直径较贝尔面瘫组更大,差异有统计学意义。3.在研究范围内,贝尔面瘫患者Sunnybrook评分和乳突段直径测量值都与发病时间显著相关,亨特综合征患者膝节横径、膝节垂直经、膝节横截面积均与发病时间显著相关。结论面神经管高分辨螺旋CT图像的多平面和曲面重建为两种周围性面瘫疾病发展的研究及鉴别诊断提供有价值的信息。
[Abstract]:Objective To study the value of multi-plane reconstruction (MPR) and surface reconstruction (CPR) of high-resolution spiral CT in the treatment of Hunt's syndrome and Bell facial paralysis, and to provide reliable information for diagnosis and treatment. Methods The clinical and CT imaging data of the patients with Hunt's syndrome (n = 42) and Bell facial paralysis (n = 63) from May 2014 to May 2015 were analyzed retrospectively. The facial nerve tube was reconstructed by multi-plane reconstruction (MPR) and surface reconstruction (CPR), and the correlation between the two facial paralysis indexes and the time was analyzed. Results 1. There was a statistically significant difference between the two types of peripheral facial nerve tubes-healthy side. In the comparison of the two facial paresis, the diameter of the knee joint, the area of the knee joint and the diameter of the lost segment were greater than that of the Bell facial paralysis group, and the difference was statistically significant. In the study, the scores of Sunnybrook and the diameter of the mastoid segment were significantly correlated with the time of onset, and the cross-sectional area of the knee joint and the cross-sectional area of the knee joint were significantly correlated with the onset time. Conclusion The multi-plane and curved surface reconstruction of the high-resolution spiral CT image of the facial nerve tube provides valuable information for the research and differential diagnosis of the development of two peripheral facial paralysis diseases.
【作者单位】：秦皇岛市第一医院耳鼻喉科;国家电网公司北京电力医院;
【分类号】：R745.12

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