CAJ | 학술논문

目的探讨真菌性鼻窦炎的CT影像特征及其临床价值。方法回顾性分析56例经手术和病理证实的真菌性鼻窦炎的 CT征象。结果55例单侧单窦发病,1例双侧单窦发病；以上颌窦最多见，其次是蝶窦、筛窦；病变鼻窦内充满软组织密度影，其内可见气泡、点状、条带状、沙砾样钙化；部分窦腔扩大，窦壁骨质增生硬化，病变上颌窦口阻塞或内侧壁骨质吸收破坏。结论 CT对真菌性鼻窦炎诊断有重要价值，对功能性内窥镜手术有一定指导意义。
목적탐토진균성비두염적CT영상특정급기림상개치。방법회고성분석56례경수술화병리증실적진균성비두염적 CT정상。결과55례단측단두발병,1례쌍측단두발병；이상합두최다견，기차시접두、사두；병변비두내충만연조직밀도영，기내가견기포、점상、조대상、사력양개화；부분두강확대，두벽골질증생경화，병변상합두구조새혹내측벽골질흡수파배。결론 CT대진균성비두염진단유중요개치，대공능성내규경수술유일정지도의의。
Objective To investigate the computed tomographic characteristics of fungal sinusitis,and the value in clinical diagnosis. Methods Computed tomographic date of 56 cases of fungal sinusitis confirmed by operation and pathology were analyzed. Results There are 55 cases of unilateral single sinusitis and 1 case of bilateral single sinusitis.The most commonly infected sinus was maxil ary sinus,fol owed by sphenoid sinus and ethmoid sinus.Soft tissue images were presented in al the infected sinuses of al cases,including bubbles、blob-shaped article or tape or gravel sample calicification. Part of the sinus cavity expansion ,sinus wal bone hyperplasia sclerosis,lesions of maxil ary sinus mouth jam or wal inside sinus bone hyperplasia sclerosis or damage. Conclusion CT scan is very important to fungal sinusitis diagnosis,also can give direction to functional endoscopic sinus surgery.