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咽病理学的影像学表现。

Imaging of pharyngeal pathology.

机构信息

Specialty Registrar in Clinical Radiology, London North West University Hospitals NHS Trust, London, United Kingdom.

Consultant Neuroradiologist, Papa Giovanni XXIII Hospital, Bergamo, Italy.

出版信息

Br J Radiol. 2023 Sep;96(1149):20230046. doi: 10.1259/bjr.20230046. Epub 2023 Jul 26.

Abstract

The pharynx plays a significant role in swallowing and speech, and this is reflected in both its complex anatomy and degree of physiological motility. Patients who present with pharynx-related symptoms such as sore throat, globus, dysphagia or dysphonia will usually undergo visual and nasal endoscopic examination in the first instance. Imaging is frequently required to supplement clinical assessment and this typically involves MRI and CT. However, fluoroscopy, ultrasound and radionuclide imaging are valuable in certain clinical situations. The aforementioned complexity of the pharynx and the myriad of pathologies which may arise within it often make radiological evaluation challenging. In this pictorial review, we aim to provide a brief overview of cross-sectional pharyngeal anatomy and present the radiological features of a variety of pharyngeal pathologies, both benign and malignant.

摘要

咽在吞咽和言语中起着重要作用,这反映在其复杂的解剖结构和生理运动程度上。出现咽痛、咽部异物感、吞咽困难或发音困难等咽部相关症状的患者通常首先进行视诊和鼻内镜检查。影像学检查常需要补充临床评估,通常包括 MRI 和 CT。然而,透视、超声和放射性核素成像在某些临床情况下具有重要价值。上述咽的复杂性和可能发生的多种病理改变常常使影像学评估具有挑战性。在本影像学综述中,我们旨在简要概述咽的横断解剖结构,并介绍各种良性和恶性咽病变的影像学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cf/10461270/2faea3b60a97/bjr.20230046.g001.jpg

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