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目的:探讨上颌窦霉菌性病变的CT影像特征表现及临床特征,分析CT扫描检查在上颌窦霉菌性病变中的诊断价值。方法:回顾性总结分析我院2005年12月至2009年12月经手术病理确诊的107例上颌窦霉菌性病变的临床表现及CT扫描结果,分析CT扫描对诊断上颌窦霉菌性病变的特异性和敏感性。结果:患者中女性所占比例(61.68%)高于男性所占比例(38.32%)(P<0.05),107例患者中有104例病变仅累及一侧上颌窦。临床症状以回吸血涕最多见(89例),CT诊断上颌窦霉菌性病变的敏感性为99.06%,特异性为97.27%。结论:上颌窦霉菌性病变有明显的临床特征。CT具特征性的表现,能准确反映鼻窦霉菌感染的范围及骨质破坏情况,因此CT扫描可作为该病首选的影像学检查。
Objective: To investigate the CT imaging features and clinical features of maxillary sinus mycosis and to analyze the diagnostic value of CT scanning in mycosis of maxillary sinus. Methods: The clinical manifestations and CT scan results of 107 cases of maxillary sinus mycosis confirmed by operation and pathology in our hospital from December 2005 to December 2009 were retrospectively analyzed. The CT scan was used to analyze the specificity and Sensitivity. Results: The proportion of women in the patients (61.68%) was higher than that of the men (38.32%) (P <0.05). Of the 107 patients, 104 lesions only involved one side of maxillary sinus. The most common clinical symptom was back-blood-flow (89 cases). The sensitivity of CT in diagnosing mycosis of the maxillary sinus was 99.06% and the specificity was 97.27%. Conclusion: The mycosis of maxillary sinus has obvious clinical features. CT has the characteristic performance, can accurately reflect the scope of sinus infection and bone destruction, so CT scan can be used as the preferred imaging examination of the disease.