论文部分内容阅读
既往对鼻咽部肿瘤的检查主要依靠普通 X 线照片、体层摄影和鼻咽部造影,近年来则应用 C T 扫描检查该区肿瘤.现将我院 CT 扫描检查诊断鼻咽部肿瘤并经手术、病理证实的97例报告分析如下。资料与方法本组鼻咽部肿瘤97例,男性66例,女性31例,发病年龄8～77岁,平均43.9岁。主要临床症状为:鼻分泌物有血丝36例,听力下降和耳聋49例,偏头痛49例,张口困难34例,面部肿胀13例,眼球活动受限10例,颈旁肿物29例.全部病例均经病理证实(发生部位见表1),其中手术39例,穿刺活检58例.本组良、恶性肿瘤 CT 诊断手术病理符合率分别为85%和93.5%(见表2),有3例良性肿瘤错诊为恶性肿瘤,5例恶性肿瘤错诊为良性肿瘤.全部病例 CT 扫描检查均有异常改变.对手术后、放射表1 肿瘤发生区域分类例数
The previous examination of nasopharyngeal tumors mainly relied on common X-rays, tomography, and nasopharyngeal angiography. In recent years, CT scans were used to examine tumors in this area. CT scans in our hospital were used to diagnose nasopharyngeal tumors and undergo surgery. The 97 cases reported by pathology were analyzed as follows. Data and Methods 97 cases of nasopharyngeal tumors in this group, 66 males and 31 females, onset age of 8 to 77 years, mean 43.9 years old. The main clinical symptoms are: 36 cases of nasal secretions with bloodshots, 49 cases of hearing loss and deafness, 49 cases of migraine, 34 cases of open mouth difficulty, 13 cases of facial swelling, 10 cases of limited eyeball activity, and 29 cases of paracervical tumor. All the cases were confirmed by pathology (see Table 1 for the site of occurrence), of which 39 cases were operated and 58 cases were performed biopsy. The surgical pathological coincidence rates of benign and malignant tumors in this group were 85% and 93.5%, respectively (see Table 2), with 3 For example, benign tumors were misdiagnosed as malignant tumors, and 5 malignant tumors were misdiagnosed as benign tumors. CT scans in all cases had abnormal changes. The number of classified cases of postoperative tumor and radiation table 1 tumors