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[上颌窦梗死性血管瘤样息肉的影像学分析]

[Radiographic analysis for infarcted angiomatous polyps in maxillary sinus].

作者信息

Wang W P, Zeng Z W

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Shengjing Hospital Affiliated to China Medical University, Shenyang, 110004, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Aug 5;31(15):1164-1167. doi: 10.13201/j.issn.1001-1781.2017.15.006.

DOI:10.13201/j.issn.1001-1781.2017.15.006
PMID:29798350
Abstract

To explore the CT, MRI manifestations of the polyp of maxillary sinus cavernous hemangioma. To summarize the imaging characteristics and it may assist doctors to diagnose infarcted angiomatous polyps in maxillary sinus with further developing.A retrospective analysis of the CT, MRI manifestations and clinical analysis about 27 cases confirmed by surgery pathology who are maxillary sinus cavernous hemangioma.Twenty-seven cases were unilateral diseases, and clinical manifestations were nasal congestion. Twenty-seven cases were proceeded CT scan, of which 9 cases of double-phase dynamic enhanced CT examination, 11 cases with MRI examination, of which 6 cases with MRI enhanced examination. CT scan showed unilateral maxillary sinus full of mixed density and involving the nasal cavity, maxillary sinus abnormal expansion of deformation, with local bone resorption damage in 27 cases, but without violation the adjacent tissue. CT enhanced scan of lesions shows that the spotted blood vessels were significantly enhanced and progressive enhancement. MRI can clearly identifylesions and obstructive sinusitis and morbid shape was irregular with mixed signal. T2WI showed high and low mixed ring signals, and the edge of the irregular low signal ring, with enhanced nodules and patchy unevenly enhanced.Most polypof maxillary sinus cavernous hemangioma clinical manifestations are unilateral nasal obstruction. CT shows the maxillary sinus irregular expands and compression bone absorption with a prompt action to this disease.Vascular-like enhancement and progressive enhancement are characteristic enhanced CT manifestations of this disease. MRI can better show the lesion range. T2WI with high and low ring mixed signals, low ring signals, and mostly enhanced nodules, uneven enhancement of plaqueare characteristic imaging manifestations.

摘要

探讨上颌窦海绵状血管瘤息肉的CT、MRI表现。总结其影像特征,为进一步提高上颌窦海绵状血管瘤息肉的诊断水平提供帮助。回顾性分析27例经手术病理证实的上颌窦海绵状血管瘤的CT、MRI表现及临床资料。27例均为单侧发病,临床表现为鼻塞。27例行CT扫描,其中9例行CT双期动态增强扫描,11例行MRI检查,其中6例行MRI增强检查。CT扫描显示单侧上颌窦内充满混杂密度影并累及鼻腔,上颌窦异常扩大变形,27例均有局部骨质吸收破坏,但未侵犯相邻组织。CT增强扫描病变表现为斑点状血管明显强化且呈渐进性强化。MRI能清晰显示病变,与鼻窦炎鉴别,病变形态不规则,信号混杂。T2WI呈高低混合环状信号,低信号环边缘不规则,内有强化结节及斑片状不均匀强化。多数上颌窦海绵状血管瘤息肉临床表现为单侧鼻塞。CT表现为上颌窦不规则扩大并骨质吸收受压,对本病有提示作用。血管样强化及渐进性强化是本病CT增强扫描的特征表现。MRI能更好地显示病变范围。T2WI高低环状混合信号、低信号环及强化结节、斑片状不均匀强化是其特征性影像表现。

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