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目的研究分析130例鼻腔鼻窦肿瘤患者的临床影像学表现,提高对该病的鉴别诊断水平。方法选取130例鼻腔鼻窦肿瘤患者作为研究对象,进行CT及MIR扫描,分析其影像学特点。结果良性肿瘤40例:包括纤维血管瘤9例,乳头状瘤10例,骨化性纤维瘤12例,神经鞘瘤5例,异位颅内肿瘤4例;恶性肿瘤90例,其中鳞状细胞癌36例,腺癌25例,黑色素瘤14例,嗅神经母细胞瘤10例,非霍奇金淋巴瘤3例,横纹肌肉瘤2例。不同的肿瘤都具有典型的CT、MRI表现。结论 CT和MRI能很好地显示鼻腔鼻窦肿瘤的部位、周围骨质破坏和邻近重要结构的侵犯,对临床治疗方案的制定及评估具有重要意义。
Objective To study the clinical imaging features of 130 cases of nasal sinus tumors and to improve the differential diagnosis of this disease. Methods 130 cases of nasal sinus cancer patients were selected as the research object, CT and MIR scanning, analysis of its imaging features. Results Forty cases of benign tumors included 9 cases of fibrosarcoma, 10 cases of papilloma, 12 cases of ossifying fibroma, 5 cases of schwannoma, 4 cases of ectopic intracranial tumors, 90 cases of malignant tumors, including squamous cell 36 cases of cancer, 25 cases of adenocarcinoma, 14 cases of melanoma, 10 cases of olfactory neuroblastoma, 3 cases of non-Hodgkin’s lymphoma and 2 cases of rhabdomyosarcoma. Different tumors have typical CT, MRI manifestations. Conclusion CT and MRI can show the location of the nasal cavity and paranasal sinuses, the destruction of the surrounding bone and the infiltration of the adjacent important structures, which is of great significance for the formulation and evaluation of the clinical treatment plan.