Yu G Y
School of Stomatology, Beijing Medical University.
Zhonghua Kou Qiang Yi Xue Za Zhi. 1990 Jan;25(1):21-3, 61.
Dynamic CT was used in 26 cases with oral and maxillofacial tumors. Among them, 21 were incremental dynamic CT, 4 were single level dynamic CT, and both of them were used in 1 case. Incremental dynamic CT can show not only the extent of the tumor, but also the relationship between the tumors and carotid arteries and jugular veins. It can provide important information for design of the operation. There are four types of shape of the carotid sheath in the involved side as follows: (1) a space of fat is present between the tumor and major vessels, indicating that carotid sheath is not involved by the tumor. (2) the vessel is close to the tumor although its position and shape are normal. (3) vessel is displaced by the tumor. (4) involved jugular vein is narrower than normal, with or without displacement.
对26例口腔颌面部肿瘤患者进行了动态CT检查。其中,21例行递增动态CT检查,4例行单层动态CT检查,1例两种方法均采用。递增动态CT不仅可以显示肿瘤的范围,还能显示肿瘤与颈动脉和颈静脉的关系。它可为手术设计提供重要信息。受累侧颈动脉鞘有以下四种形态:(1)肿瘤与大血管之间存在脂肪间隙,提示颈动脉鞘未受肿瘤侵犯。(2)血管虽位置和形态正常,但靠近肿瘤。(3)血管被肿瘤推移。(4)受累颈静脉变窄,可伴有或不伴有移位。