国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
24期
2993-2996
,共4页
腺样体肥大%数字化X线成像%计算机断层扫描%磁共振成像%腺样体-鼻咽腔比率
腺樣體肥大%數字化X線成像%計算機斷層掃描%磁共振成像%腺樣體-鼻嚥腔比率
선양체비대%수자화X선성상%계산궤단층소묘%자공진성상%선양체-비인강비솔
Adenoid hypertrophy%Digital radiography(DR)%Computer tomography(CT)%Magnetic resonance imaging(MRI)%Adenoid-nasopharynx ratio
目的 探讨不同影像学技术(DR、CT及MR)在儿童腺样体肥大诊断中的临床应用价值.方法 经临床确诊腺样体肥大儿童72例,50例使用DR摄常规鼻咽部侧位片,12例使用CT检查,10例使用磁共振成像扫描,通过测量腺样体-鼻咽腔比率(A/N比值),评估腺样体肥大情况.结果 DR、CT、MR均可获得鼻咽部软组织的清晰影像资料,通过测量A/N比值,可以评价鼻咽腔变窄程度.CT、MR可直接显示腺样体大小、形态及并发症.结论 使用DR摄鼻咽侧位片,患儿容易接受,是便捷、实用的测定儿童腺样体肥大的方法,对儿童腺样体肥大的诊断具有重要的临床价值.CT、MR测量儿童腺样体大小较DR更准确并且能显示并发症,有助于术前检查.其中MR具有无辐射、直接三维成像及软组织分辨率高的优点,在经济允许的情况下,是术前评估的首选影像学检查.
目的 探討不同影像學技術(DR、CT及MR)在兒童腺樣體肥大診斷中的臨床應用價值.方法 經臨床確診腺樣體肥大兒童72例,50例使用DR攝常規鼻嚥部側位片,12例使用CT檢查,10例使用磁共振成像掃描,通過測量腺樣體-鼻嚥腔比率(A/N比值),評估腺樣體肥大情況.結果 DR、CT、MR均可穫得鼻嚥部軟組織的清晰影像資料,通過測量A/N比值,可以評價鼻嚥腔變窄程度.CT、MR可直接顯示腺樣體大小、形態及併髮癥.結論 使用DR攝鼻嚥側位片,患兒容易接受,是便捷、實用的測定兒童腺樣體肥大的方法,對兒童腺樣體肥大的診斷具有重要的臨床價值.CT、MR測量兒童腺樣體大小較DR更準確併且能顯示併髮癥,有助于術前檢查.其中MR具有無輻射、直接三維成像及軟組織分辨率高的優點,在經濟允許的情況下,是術前評估的首選影像學檢查.
목적 탐토불동영상학기술(DR、CT급MR)재인동선양체비대진단중적림상응용개치.방법 경림상학진선양체비대인동72례,50례사용DR섭상규비인부측위편,12례사용CT검사,10례사용자공진성상소묘,통과측량선양체-비인강비솔(A/N비치),평고선양체비대정황.결과 DR、CT、MR균가획득비인부연조직적청석영상자료,통과측량A/N비치,가이평개비인강변착정도.CT、MR가직접현시선양체대소、형태급병발증.결론 사용DR섭비인측위편,환인용역접수,시편첩、실용적측정인동선양체비대적방법,대인동선양체비대적진단구유중요적림상개치.CT、MR측량인동선양체대소교DR경준학병차능현시병발증,유조우술전검사.기중MR구유무복사、직접삼유성상급연조직분변솔고적우점,재경제윤허적정황하,시술전평고적수선영상학검사.
Objective To investigate the clinical value of different imaging technology [digital radiography (DR),computer tomography (CT) and magnetic resonance imaging (MRI)] in the diagnosis of children with adenoid hypertrophy.Methods 72 cases with adenoid hypertrophy were recruited.50 cases were examined by DR,12 cases were examined by CT examination,10 cases were examined by magnetic resonance imaging.The sizes of adenoid tonsils were estimated by adenoid-nasopharynx ratio(A / N)Results DR,CT and MRI can obtain clear images of nose pharynx ministry.The narrowed degree of nasopharynx lumen can be accurately evaluated by A/N.CT and MRI can directly display adenoid shape,size and complications.Conclusions DR of nose pharynx is a convenient and practical measuring for being easily accepted by children.DR has an important clinical value.CT and MRI are more accurate in measuring adenoid size and can display the complications to help preoperative examination.MR has no radiation,has high resolution of soft tissue and advantages of direct 3D imaging,and it's a first choice examination in preoperative.