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目的探析CT检查在真菌性鼻窦炎术前诊断中的临床意义。方法对本院2016年1月至2016年12月所收治的52例真菌性鼻窦炎患者临床表现、CT改变、术中所见予以记录,并进行回顾性分析和对比。结果经CT诊断,47例为鼻窦炎症,其中37例均于术前即确诊为真菌性鼻窦炎,诊断准确率为71.15%,其余10例表现为慢性上颌窦炎,同时合并鼻息肉,或者单纯慢性鼻窦炎,鼻窦占位性病变共5例。结论真菌性鼻窦炎的CT表现典型征象为窦腔内存在斑块状钙化软组织填充,虽然病理学检查真菌性鼻窦炎准确性高,但是术前诊断中CT诊断仍然具有较高参考价值,能够显示鼻窦解剖结构和病变范围,可为手术治疗提供指导。
Objective To investigate the clinical significance of CT in the preoperative diagnosis of fungal sinusitis. Methods The clinical manifestations, CT changes and intraoperative findings of 52 patients with fungal sinusitis admitted from January 2016 to December 2016 in our hospital were recorded and retrospectively analyzed and compared. Results CT diagnosis of 47 cases of sinusitis, of which 37 cases were diagnosed as fungal sinusitis preoperatively, the diagnostic accuracy was 71.15%, the remaining 10 cases of chronic maxillary sinusitis, combined with nasal polyps, or simple Chronic sinusitis, sinus lesions occupy a total of 5 cases. Conclusion The typical CT manifestations of fungal sinusitis are plaque-like calcified soft tissue fills in the sinus cavity. Although the accuracy of pathological examination of fungal sinusitis is high, CT diagnosis in preoperative diagnosis still has high reference value and can display Sinus anatomy and lesion range, can provide guidance for surgical treatment.