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鼻窦的术前计算机断层扫描评估：医生应该了解什么？——图文并茂的文章

Preoperative computed tomography evaluation of the paranasal sinuses: what should the physician know? - pictorial essay.

作者信息

Ribeiro Bruno Niemeyer de Freitas, Muniz Bernardo Carvalho, Marchiori Edson

机构信息

Instituto Estadual do Cérebro Paulo Niemeyer - Departamento de Radiologia, Rio de Janeiro, RJ, Brazil.

Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

出版信息

Radiol Bras. 2019 Mar-Apr;52(2):117-122. doi: 10.1590/0100-3984.2017.0082.

DOI:10.1590/0100-3984.2017.0082
PMID:31019342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6472854/
Abstract

The introduction of functional endoscopic sinus surgery in the 1980s brought about a drastic change in the treatment of patients with rhinosinusitis, improving quality of life through the removal of pathological processes or anatomical variations that obstruct the drainage pathways of the paranasal sinuses. However, despite the routine use of computed tomography in the anatomical evaluation of the paranasal sinuses, most radiological reports still do not provide sufficient information to guide the surgical planning. The objective of this pictorial essay was to demonstrate, through computed tomography, the main anatomical variations of the paranasal sinuses, the recognition of which is fundamental for preoperative planning, in order to avoid treatment failure and iatrogenic complications.

摘要

20世纪80年代功能性鼻内镜鼻窦手术的引入给鼻窦炎患者的治疗带来了巨大变革，通过清除阻塞鼻窦引流通道的病理过程或解剖变异来提高生活质量。然而，尽管在鼻窦的解剖评估中常规使用计算机断层扫描，但大多数放射学报告仍未提供足够信息来指导手术规划。这篇影像文章的目的是通过计算机断层扫描展示鼻窦的主要解剖变异，认识这些变异对于术前规划至关重要，以避免治疗失败和医源性并发症。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d605/6472854/155cb6d9d210/rb-52-02-0117-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d605/6472854/695c955a85b0/rb-52-02-0117-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d605/6472854/132e51e86690/rb-52-02-0117-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d605/6472854/c8d65ef5b129/rb-52-02-0117-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d605/6472854/bddfcdce0f64/rb-52-02-0117-g11.jpg

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Contribution of dynamic contrast enhancement and diffusion-weighted magnetic resonance imaging to the diagnosis of malignant cervical lymph nodes.
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