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口咽部病变的MRI诊断和评价

MRI diagnosis and evaluation in oropharyngeal lesions

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【作者】 庄奇新杨世勋尚克中严信华

【Author】 Zhuang Qixin, Yang Shixun, Shang Kezhong, et al. Department of Radiology, Shanghai Sixth Hospital, Shanghai 200233

【机构】 上海市第六人民医院放射科

【摘要】 目的探讨MRI对口咽部病变的诊断价值。材料与方法回顾分析46例经临床手术和病理证实的口咽部病变的MRI资料,其中包括20例软腭病变,5例舌根部病变,8例扁桃腺病变,5例咽后壁病变和8例咽侧壁病变。结果MRI能准确地显示口咽部病变的大小、形态及侵及范围。MRI对粘膜下病变以及肿瘤向深部组织浸润的发现有重要的价值。冠状面图像有助于颌下和颈部淋巴结肿大的发现。结论MRI对口咽部病变的诊断有重要价值,明显地优于CT。

【Abstract】 Purpose To assess the MRI diagnosis of oropharyngeal lesions. Materials and me thods Forty six oropharyngeal lesions were examined by MRI scan; all were comfirmed by surgical and pathological findings. They included 20 lesions in the soft palate, 5 lesions in the base of the tongue, 8 lesions in the tonsil, 5 lesions in the retropharynx, and 8 lesions in the lateral pharyngeal wall. Results MRI could sensitively display the size, shape, extent and site of oropharyngeal lesions and the area of involvement. It was very useful to study submucosal lesions and tumor infiltration into adjacent tissue with MRI. The coronal image could clearly display submandibular and cervical lymph node metastases. Conclusion MRI could provide useful informations about oropharyngeal lesions. Magnetic resonance imaging is superior to CT in the diagnosis of oropharyngeal lesions.

  • 【文献出处】 中华放射学杂志 ,CHINESE JOURNAL OF RADIOLOGY , 编辑部邮箱 ,1998年03期
  • 【分类号】R739.63
  • 【被引频次】15
  • 【下载频次】87
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