PET-CT、CT及MRI诊断原发性鼻腔恶性淋巴瘤的临床价值分析

发布时间：2018-01-04 05:30

本文关键词：PET-CT、CT及MRI诊断原发性鼻腔恶性淋巴瘤的临床价值分析　出处：《医学影像学杂志》2016年10期 　论文类型：期刊论文

【摘要】：目的探讨原发性鼻腔恶性淋巴瘤PET-CT、CT及MRI诊断价值。方法回顾性分析32例原发性鼻腔恶性淋巴瘤患者PET-CT、CT及MRI影像学表现,并与手术及病理结果进行比较。结果 1)32例患者后均经病理证实为非霍奇金淋巴瘤,其中明确诊断为NK/T细胞淋巴瘤27例;2)PET-CT的符合率为93.7%,显著高于单独应用CT、MRI符合率的71.9%、75.1%,差异均有统计学意义(X~2=7.2346,P=0.0032;X~2=6.9538,P=0.0037)。结论原发性鼻腔恶性淋巴瘤的PET-CT表现有一定的特征性,结合其影像表现及病理检查,可提高该病诊断的敏感性和准确性,并显示鼻腔恶性淋巴瘤侵犯范围及程度。
[Abstract]:Objective to evaluate the diagnostic value of CT and MRI in primary nasal malignant lymphoma. Methods the PET-CT of 32 patients with primary malignant lymphoma of nasal cavity were analyzed retrospectively. Ct and MRI imaging findings were compared with the results of surgery and pathology. Results all the 32 patients were confirmed by pathology as non-Hodgkin 's lymphoma. Among them, 27 cases were diagnosed as NK/T cell lymphoma. 2the coincidence rate of PET-CT was 93.7, which was significantly higher than that of CT MRI alone (71.9%, 75.1%), and the difference was statistically significant (P < 0.05). P0. 0032; Conclusion the PET-CT features of primary nasal malignant lymphoma are characteristic, combined with imaging and pathological examination. It can improve the sensitivity and accuracy of diagnosis and show the extent and extent of malignant lymphoma of nasal cavity.
【作者单位】：武警浙江省总队嘉兴医院;
【分类号】：R739.6;R730.44;R445.2
【正文快照】： 原发性鼻腔恶性淋巴瘤患者临床表现不典型,鼻腔恶性淋巴瘤生长的特点是早期病灶在粘膜下浸润,表面光滑,少数呈结节状,侵犯范围较广泛,晚期肿块阻塞鼻腔,表面可发生溃烂。骨破坏早期不明显或相对轻微,以后则为侵蚀性破坏,少数还可以有骨膜增生。NK/T细胞淋巴瘤恶性度较高,进展

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