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目的 报告２０例病理证实的霉菌性副鼻窦炎并回顾文献，旨在提高对此病的认识探讨ＣＴ的诊断价值。材料和方法２０例均行轴位（８例同时行冠状位）ＣＴ扫描，分析ＣＴ表现和病理结果。结果 病理所见２０例中１５例为曲霉菌，３例为毛霉菌，２例不能分型。ＣＴ显示２０例一侧上颌窦均受累，５例同侧筛窦亦被侵犯。１８例上颌窦炎性病变中见斑点斑块状钙化。１８例见上颌窦窦壁的骨质侵蚀破坏和增生硬化。结论 ＣＴ尤其是冠状位ＣＴ是显示副鼻窦的解剖结构和诊断霉菌性副鼻窦炎的重要手段。
Objective To report 20 cases of pathologically confirmed fungal sinusitis and review the literature aimed at improving the understanding of the disease to explore the diagnostic value of CT. Materials and Methods Twenty patients underwent axial CT scan (8 cases at the same time coronary angiography) CT scan, CT findings and pathological findings. Results of the pathology seen in 20 cases of 15 cases of Aspergillus, 3 cases of Mucor, 2 cases can not type. CT showed 20 cases of maxillary sinus involvement, 5 cases of ipsilateral ethmoid sinus were also violated. 18 cases of maxillary sinus inflammatory lesions seen plaque calcification. 18 cases of maxillary sinus wall see the erosion of bone erosion and proliferation of sclerosis. Conclusion CT, especially coronal CT, is an important method to show the anatomy of paranasal sinuses and to diagnose fungal paranasal sinuses.