CAJ | 학술논문

目的：探讨64排螺旋CT对鼻咽癌的诊断价值。方法收集我院2012年5月~2015年3月经临床病理结果和长期随访结果确诊的鼻咽癌患者78例。通过CT的影像学表现，评价64排螺旋CT在鼻咽癌诊断的灵敏度、诊断准确率。结果鼻咽癌在CT表现为鼻咽顶后壁及侧壁软组织肿块，同时可对伴有邻近结构侵犯、淋巴结转移、远处转移提供重要的信息。78例已确诊的鼻咽癌患者中经CT确诊69例，其诊断准确率为88.5%(69/78)。结论 CT对鼻咽癌诊断具有较高的准确率，可作为鼻咽癌诊断首选的影像学检查方法。
목적：탐토64배라선CT대비인암적진단개치。방법수집아원2012년5월~2015년3월경림상병리결과화장기수방결과학진적비인암환자78례。통과CT적영상학표현，평개64배라선CT재비인암진단적령민도、진단준학솔。결과비인암재CT표현위비인정후벽급측벽연조직종괴，동시가대반유린근결구침범、림파결전이、원처전이제공중요적신식。78례이학진적비인암환자중경CT학진69례，기진단준학솔위88.5%(69/78)。결론 CT대비인암진단구유교고적준학솔，가작위비인암진단수선적영상학검사방법。
Objective To explore the value of 64-slice spiral CT for nasopharyngeal carcinoma diagnosis. Methods 78 patients who had been diagnosed as nasopharyngeal carcinoma in our hospital based on results of clinical pathological test and long-time follow-up from May 2012 to March 2015 were collected to evaluate sensitivity and accuracy rate of 64-slice spiral CT for nasopharyngeal carcinoma diagnosis. Results CT of nasopharyngeal carcinoma showed soft tissue mass in the top wall and side walls,associated with adjacent structures invasion,lymph node metastasis and distant metastasis.69 out of 78 patients were diagnosed as nasopharyngeal carcinoma by CT with the accuracy rate was 88.5%(69/78). Conclusion CT has relatively high accuracy rate for nasopharyngeal carcinoma diagnosis and it can be applied as the preferred imaging method for nasopharyngeal carcinoma diagnosis.