CAJ | 학술논문

目的：探讨多层螺旋CT（MSCT）对茎突综合征（SPS）的诊断价值。方法：选择本院临床拟诊断SPS的患者32例，行MSCT扫描，三维重建技术测量双侧茎突的长度和茎咽距。结果：32例患者64侧茎突全部显示，其中16侧茎突长度<30 mm；48侧茎突长度为30~68 mm，平均（32.0±5.6）mm。13侧茎咽距<20 mm，平均（23.0±2.2）mm。结论：多层螺旋CT能多平面、多角度清晰地显示茎突的立体解剖及其与临近组织的关系，并可直接精确地测量茎突的长度和咽侧壁之间的最短距离，为临床诊断SPS提供可靠依据，并能为手术方案的制定和手术路径的选择提供可靠的信息。
목적：탐토다층라선CT（MSCT）대경돌종합정（SPS）적진단개치。방법：선택본원림상의진단SPS적환자32례，행MSCT소묘，삼유중건기술측량쌍측경돌적장도화경인거。결과：32례환자64측경돌전부현시，기중16측경돌장도<30 mm；48측경돌장도위30~68 mm，평균（32.0±5.6）mm。13측경인거<20 mm，평균（23.0±2.2）mm。결론：다층라선CT능다평면、다각도청석지현시경돌적입체해부급기여림근조직적관계，병가직접정학지측량경돌적장도화인측벽지간적최단거리，위림상진단SPS제공가고의거，병능위수술방안적제정화수술로경적선택제공가고적신식。
Objective:To evaluate the diagnostic value of multi-slice CT (MSCT) in styloid process syndrome (SPS).Method:32 patients with SPS underwent MSCT scans were selected. The length of styloid process and the shortest distance between styloid process and pharynx were measured on CT images with three-dimensional reconstruction technology.Result:Among 64 styloid process in 32 patients, length of styloid process was less than 30 mm in 16 styloid process. The length of styloid process was between 30 and 68 mm in 48 styloid process with an average of (32.0±5.6)mm. The shortest distance between styloid process and pharynx was less than 20 mm in 13 styloid process with an average of (23.0±2.2)mm.Conclusion: MSCT can clearly show the anatomy of the styloid process and its relationship with adjacent tissues by using multi-planar and multi-angle techniques, and can accurately measure the length of styloid process and the shortest distance between styloid process and pharynx. Thus it can be used to clinical accurate diagnosis of SPS and to provide reliable information for planning and choosing the path of surgery.