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[鼻上颌窦的术前X线诊断与手术所见(作者译)]

[Preoperative roentgendiagnostic of the naso-maxillary sinuses and operative findings (author's transl)].

作者信息

Vogel H, Probandt G, Herberhold C, Leitner H, Hörmann K

出版信息

Rontgenblatter. 1982 Mar;35(3):97-105.

PMID:7063786
Abstract

The preoperative roentgenmorphology of the nasomaxillary sinuses was compared with the intraoperative findings. The dates of 285 patients were evaluated. For the maxillary sinus there was correspondency in 85.7%. There were no differences in the cases explored with tomography. For the ethmoidal sinus there was correspondency in 89.5% and for the frontal sinus in 82.7%. The importance of the preoperative roentgenexamination with the standard exposure in occipitomental projection was less the demonstration of the inflammation than of other findings. The sphenoidal sinus was best explored by tomography. The standard projection did not always allow the differentiation of cysts, polyps and mucoceles in diseased sinuses. The tomography was superior to the standard projection, in tumor patients the accompanying inflammation could not be separated from tumor infiltration with certainty.

摘要

将鼻上颌窦的术前X线形态与术中发现进行了比较。对285例患者的数据进行了评估。在上颌窦方面,符合率为85.7%。在采用断层扫描检查的病例中没有差异。筛窦的符合率为89.5%,额窦为82.7%。在枕颏位进行标准曝光的术前X线检查,其重要性与其说是显示炎症,不如说是显示其他发现。蝶窦最好通过断层扫描进行检查。标准投照并不总能区分患病鼻窦中的囊肿、息肉和黏液囊肿。断层扫描优于标准投照,在肿瘤患者中,伴随的炎症无法与肿瘤浸润确切区分开来。

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