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[面部鼻窦的X线计算机断层扫描。198例慢性鼻窦炎患者的结果]

[X-ray computed tomography of the facial sinuses. Results in 198 patients with chronic sinusitis].

作者信息

Duvoisin B, Gudinchet F, Schnyder P

机构信息

Service de Radiodiagnostic, CHUV, Lausanne, Suisse.

出版信息

J Radiol. 1992 May;73(5):309-13.

PMID:1432909
Abstract

The CT studies of 198 consecutive patients with chronic sinusitis were reviewed retrospectively. CT was normal in 47 patients (23.7%). In 151 patients one or many cavities showed abnormalities. In 69 cases (34.9%), the lesions affected one or two sinuses, in 35 cases (17.7%) three to six cavities were abnormal, whereas in 47 cases (23.7%), more than six cavities were abnormal. In 87 cases (57.6%), lesions were observed both in large cavities and ethmoid cells, whereas they were selectively localized in large cavities in 55 cases (36.4%), or in ethmoid cells in 9 cases (6%). Abnormalities were observed in the maxillary sinus in 137 patients (69.2%), in the ethmoid in 96 patients (48.5%), in the frontal sinus in 51 patients (25.8%), and in the sphenoid sinus in 28 patients (14.1%). The most frequent abnormality was hypertrophic mucosa, which was visible in 275 cavities. These results were compared with date of the literature.

摘要

对198例慢性鼻窦炎患者的CT研究进行了回顾性分析。47例患者(23.7%)CT表现正常。151例患者中一个或多个鼻窦腔显示异常。69例(34.9%)病变累及一个或两个鼻窦,35例(17.7%)三个至六个鼻窦腔异常,而47例(23.7%)六个以上鼻窦腔异常。87例(57.6%)在大鼻窦腔和筛窦均观察到病变,55例(36.4%)病变仅局限于大鼻窦腔,9例(6%)仅局限于筛窦。137例患者(69.2%)上颌窦有异常,96例(48.5%)筛窦有异常,51例(25.8%)额窦有异常,28例(14.1%)蝶窦有异常。最常见的异常是黏膜肥厚,在275个鼻窦腔中可见。将这些结果与文献数据进行了比较。

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