茎突三维CT重建对茎突综合征患者手术的指导作用

发布时间：2018-06-22 23:37

本文选题：茎突综合征 + 体层摄影术　；参考：《临床耳鼻咽喉头颈外科杂志》2014年21期

【摘要】：目的:探讨茎突三维CT重建对茎突综合征患者手术的指导作用。方法:对2006-07-2010-06期间48例茎突综合征患者行茎突三维CT重建联合茎突X线正侧位片检查,经影像科专科医师阅片测量,并行手术。结果:茎突三维CT对细节的显示更为准确,可判断是否存在茎突骨质的中断、偏斜、舌骨韧带骨化等细节。10例(20.83%)患者X线检查与三维CT诊断存在差异,两者差值0.5cm,三维CT测量值为(3.11±0.62)cm,X线片测量值为(4.16±1.27)cm,差异有统计学意义(P0.05)。6例(12.5%)患者口内未扪及骨质,且X线检查与三维CT诊断不符;1例保守治疗后好转,余5例经口径路均未探查到骨质;口内未扪及骨质的5例患者手术时间较其他41例患者明显延长[(45.6±15.7)s、(25.3±4.2)s,P0.05]。结论:茎突三维CT重建可重复性好,细节分辨率高,是茎突综合征患者的重要诊断依据。对于口内未扪及骨质而X线提示茎突骨质过长者,建议进一步三维CT检查以明确诊断,避免不必要的手术探查。
[Abstract]:Objective: to investigate the guiding effect of three-dimensional CT reconstruction of styloid process on patients with styloid process syndrome. Methods: Forty-eight patients with styloid process syndrome from July to June 2006 were examined by three-dimensional CT reconstruction of styloid process combined with anteroposterior and lateral radiography of styloid process. Results: Three-dimensional CT of styloid process was more accurate in displaying details. It could be used to determine whether there were any details such as interruption of styloid process bone, deflection, ossification of hyoid ligament, and so on. The X-ray examination of 10 cases (20.83%) was different from that of 3D CT in diagnosis. The difference was 0.5 cm, the measured value of 3D CT was (3.11 卤0.62) cm X ray was (4.16 卤1.27) cm, the difference was statistically significant (P0.05) in 6 cases (12.5%). The operation time of 5 patients without intraoral bone palpation was significantly longer than that of the other 41 patients [(45.6 卤15.7) s, (25.3 卤4.2) sP05]. Conclusion: 3D CT reconstruction of styloid process has good reproducibility and high resolution of detail, which is an important basis for diagnosis of styloid process syndrome. For the elderly with unpalpable intraoral bone and X-ray indication of styloid hyperemia, further 3 D CT examination is recommended to make a definite diagnosis and to avoid unnecessary surgical exploration.
【作者单位】：南方医科大学南方医院耳鼻咽喉科;南方医科大学南方医院放射科;
【分类号】：R766.9

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