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目的探讨CT诊断鼻腔鼻窦肿块病变的价值。方法100例鼻腔鼻窦肿块,按病变累及部位分3种情况:A,肿块局限于鼻腔;B,肿块累及鼻窦和(或)鼻腔;C,肿块累及鼻腔、鼻窦以外的邻近结构。将鼻腔鼻窦肿块分良性病变组(60例)和恶性病变组(40例),对比分析肿块累及部位情况。结果肿瘤累及部位,良性肿块病变组:A,53例;B,1例;C,6例;恶性肿块性病变组:A,3例;B,9例;C,28例,2组差别显著(Ρ<0.05)。对于肿块骨质结构改变,良性肿块病变组:正常51例,骨质吸收2例,骨质破坏7例;恶性肿块病变组:正常1例,骨质破坏39例,无骨质吸收病例,2组差别显著(Ρ<0.05)。结论根据CT表现,多数可确定鼻腔鼻窦肿块的性质和起源部位。
Objective To investigate the value of CT in the diagnosis of nasal sinus lesions. Methods One hundred cases of nasal sinus were divided into three groups according to the involved site of the lesion: A, the tumor was confined to the nasal cavity; B, the mass involved the sinus and / or nasal cavity; C, the mass involved the adjacent structures other than the nasal and sinus. The nasal sinus mass was divided into benign lesion group (60 cases) and malignant lesion group (40 cases), comparative analysis of mass involved parts. Results In the group of benign mass lesions, there were 53 cases in group B, 1 case in group B, 6 cases in group C, 3 cases in group A, 3 cases in group B, 9 cases in group B and 28 cases in group C, with significant difference between the two groups (P <0.05). In the group of benign mass lesions, there were 51 normal cases, 2 cases of bone resorption and 7 cases of bone destruction. In the group of malignant tumors, 1 case was normal, 39 cases were bone destruction, 2 cases had no bone resorption, 2 Group difference was significant (P <0.05). Conclusion According to the CT findings, the majority of the nasal sinus mass can determine the nature and origin of the site.