鼻内翻性乳头状瘤的MRI诊断价值分析

发布时间：2018-05-18 00:10

本文选题：磁共振 + 鼻内翻性乳头状瘤　；参考：《中国现代医学杂志》2017年24期

【摘要】：目的探讨MRI诊断鼻内翻性乳头状瘤(NIP)的临床价值。方法选取2014年1月-2016年1月在该院进行诊治的NIP患者67例,对MRI资料进行回顾性分析,以手术后病理分期作为金标准,计算MRI在诊断NIP分期结果与病理结果的差异。结果病变部位累及范围,累及鼻腔42例(62.29%)、累及筛窦35例(52.24%)、累及上颌窦37例(55.22%)、累及蝶窦3例(4.48%)、累及额窦9例(13.43%)、累及眼眶3例(4.48%)、累及硬脑膜2例(2.99%)。骨质发生改变的情况,NIP的主要骨质改变特点为肿块生长导致骨质被压迫、吸收,鼻腔外侧壁为受累最为严重的部位。术后病理诊断T_1期6例、T_2期19例、T_3期30例、T_4期12例,MRI诊断T_1期7例、T_2期19例、T_3期30例、T_4期11例。MRI结果较手术病理结果诊断分期提高6例、诊断分期降低4例。MRI诊断结果与术后病理比较,一致性高(Kappa=0.781,P=0.000)。结论 MRI检查能较为清楚地诊断鼻内翻性乳头状瘤的病变范围、累及部位,诊断结果的克鲁斯(Krouse)分期与手术病理结果一致性高。
[Abstract]:Objective to evaluate the clinical value of MRI in the diagnosis of nasal inverted papilloma. Methods 67 patients with NIP were selected from January 2014 to January 2016 in our hospital. The data of MRI were analyzed retrospectively. The difference between the results of MRI in the diagnosis of NIP staging and pathological results was calculated by using pathological staging after operation as the golden standard. Results the extent of lesion was 62.29 in nasal cavity, 52.24 in ethmoid sinus, 55.22 in maxillary sinus, 3 in sphenoid sinus, 13. 43 in frontal sinus, 3 in orbital cavity, 2 in dural meninges and 2 in 2. 99% of the total number of lesions. The lesions were found in the nasal cavity (n = 42), ethmoid sinus (n = 35), maxillary sinus (n = 37), sphenoid sinus (n = 3), frontal sinus (n = 9), orbital involvement (n = 3), and dura mater (n = 2). The main characteristics of bone change of nip are that mass growth leads to bone compression, absorption, and the lateral wall of nasal cavity is the most seriously involved site. Postoperative pathological diagnosis of 6 cases of T _ 1 stage and T _ 2 stage of T _ 2 stage 19 cases of T _ S _ 3 stage and 30 cases of T _ S _ 3 and T _ S _ 4 (n = 12) MRI diagnosis of T _ 1 stage 7 cases T _ 2 stage 19 cases T _ 3 stage 30 cases T _ 4 stage 11 cases. MRI results were improved in 6 cases compared with surgical pathological results. The diagnostic staging was decreased in 4 cases. Compared with the postoperative pathology, the diagnostic results of MRI were highly consistent with that of Kappa-0.781P 0.000. Conclusion MRI can clearly diagnose the lesion range, location of nasal inverted papilloma, and the diagnostic results of Krouse stage are in good agreement with the surgical and pathological results.
【作者单位】：青海省西宁市第一人民医院放射科;
【分类号】：R445.2;R739.62

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