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HRCT诊断慢性中耳炎的价值

VALUE OF HRCT FOR DIAGNOSING CHRONIC TYMPANITIS

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【作者】 杨建伟; 曹任江; 许崇永; 毕可森; 王培玺;

【Author】 Yang Jianwei,Cao Renjiang,Xu Chongyong, et al (Department of Radiology,Wei Hai Municipal Hospital,Weihai 264200)

【机构】 威海市立医院!威海市264200;

【摘要】 目的 :与手术病理结果对照 ,探讨慢性中耳炎 HRCT表现及临床价值。方法 :搜集慢性中耳炎患者44例的 HRCT检查资料 ,其中 2 6例手术治疗。结果 :慢性中耳炎 HRCT主要表现为听骨链移位破坏、天盖及盾板破坏 ,鼓室鼓窦扩大 ,可伴有面神经损伤及脑脓肿等改变。结论 :HRCT对慢性中耳炎病变部位、性质及累及范围能作出较正确的诊断 ,尤其是听骨链的改变 ,对临床治疗及制定手术计划提供良好的信息。

【Abstract】 Objective:Compared with surgical pathology findings,to investigate the HRCT appearances of chronic tympanitis and its clinical value.Methods:HRCT data of 44 patients with chronic tympanitis were collected in the study.Results:The CT main appearances of chronic tympanitis were dislocation and destruction of the ossicular chain,erosion of tegment tympani and cecutum enlargement of tympanic cavity and antrum which might be accompanied with facial nerve injure and cerebral abscess.Conclusion:HRCT could better show the location,nature,and range of chronic tympanitis lesion especially ,the change of ossicular chain,and can provide information for clinical treatment and surgery.

【关键词】 中耳炎; 胆脂瘤; 肉芽肿; 体层摄影; X线计算机;
【Key words】 tympanitis; cholesteatoma; granuloma; tomography; X ray computer;
  • 【文献出处】 滨州医学院学报 ,Journal of Binzhou Medical College , 编辑部邮箱 ,2001年03期
  • 【分类号】R816.96;R764.21
  • 【被引频次】1
  • 【下载频次】22
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