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目的探讨CT对上颌窦病变的诊断价值。方法回顾性分析济宁交通医院耳鼻喉科1998年1月至2010年12月收治62例上颌窦病变患者,其中炎性病变43例,良性肿瘤11例,恶性肿瘤6例,上颌窦骨折2例。CT扫描与术中发现、术后病理进行对比分析。结果 CT与临床诊断符合率为92%(57/62),CT与病理诊断符合率为90%(56/62)。结论 CT能较好地显示上颌窦的炎性病变以及肿瘤的侵犯范围,肿瘤病变的骨质破坏程度有助于准确进行肿瘤的TNM分期及规定放疗野,可以避免不必要的手术创伤,为准确制定手术方案提供可靠的参考依据。但鉴别诊断和定性诊断还应密切结合临床和病理。
Objective To investigate the value of CT in the diagnosis of maxillary sinus diseases. Methods The clinical data of 62 patients with maxillary sinus diseases from January 1998 to December 2010 were retrospectively analyzed. There were 43 inflammatory lesions, 11 benign tumors, 6 malignant tumors and 2 maxillary sinus fractures. CT scan and intraoperative findings, postoperative pathology comparative analysis. Results The coincidence rate of CT and clinical diagnosis was 92% (57/62). The coincidence rate of CT and pathological diagnosis was 90% (56/62). Conclusion CT can better show the inflammatory lesions of the maxillary sinus and the extent of tumor invasion. The degree of bone destruction of the tumor lesion can help to accurately determine the tumor TNM stage and radiotherapy field. It can avoid unnecessary surgical trauma and is accurate Make a surgical plan to provide a reliable reference. However, differential diagnosis and qualitative diagnosis should be closely combined with clinical and pathological.