使用锥形束计算机断层扫描检测下颌骨骨髓炎的诊断标准。
Diagnostic criteria for the detection of mandibular osteomyelitis using cone-beam computed tomography.
作者信息
Schulze D, Blessmann M, Pohlenz P, Wagner K W, Heiland M
机构信息
Department of Oral Radiology, Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Hugstetter Strasse 55, D-79106 Freiburg, Germany.
出版信息
Dentomaxillofac Radiol. 2006 Jul;35(4):232-5. doi: 10.1259/dmfr/71331738.
OBJECTIVES
To investigate the usefulness of cone-beam computed tomography (CBCT) in cases of suspected osteomyelitis (OM) of the mandible.
METHODS
13 patients with clinical suspected OM of the mandible underwent cone-beam computed tomography with the NewTom QR-DVT 9000. After CBCT revealed signs confirming the diagnosis of OM, biopsies were performed. Only cases in which histology confirmed the OM were included in this study.
RESULTS
CBCT sufficiently depicts OM-typical lesions like osteolytic and osteosclerotic areas as well as periosteal reaction, ill-defined cortical borders and sequestra.
CONCLUSIONS
Because the local extension of the disease and its relationship to anatomic structures can be sufficiently detected by CBCT, we see an important additional indication for the usage of CBCT. With regard to distinct cases CBCT combined with scintigraphy seems to be a sufficient diagnostic strategy concerning suspected OM.
目的
探讨锥形束计算机断层扫描（CBCT）在下颌骨疑似骨髓炎（OM）病例中的应用价值。
方法
13例临床疑似下颌骨OM的患者使用NewTom QR-DVT 9000进行锥形束计算机断层扫描。CBCT显示出确诊OM的征象后，进行活检。本研究仅纳入组织学确诊为OM的病例。
结果
CBCT能够充分显示OM典型病变，如溶骨区和骨硬化区、骨膜反应、边界不清的皮质边界和死骨。
结论
由于CBCT能够充分检测疾病的局部扩展及其与解剖结构的关系，我们认为CBCT的使用有一个重要的附加指征。对于个别病例，CBCT联合闪烁扫描似乎是疑似OM的充分诊断策略。
Zotero 插件