解放军医学院学报2017，Vol.38Issue(5)：456-458,3.DOI:10.3969/j.issn.2095-5227.2017.05.019
真菌球型鼻窦炎的病变部位分布及CT影像特征分析
Fungus ball sinusitis: Distribution and CT imaging characteristics
孙勇 1张凤久 1冯勃2
作者信息
- 1. 赤峰学院附属医院 耳鼻咽喉科,内蒙古赤峰 024000
- 2. 解放军总医院 耳鼻咽喉头颈外科,北京 100853
- 折叠
摘要
Abstract
Objective To analyze the distribution and CT imaging characteristics of fungus ball sinusitis. Methods Seventy-eight patients diagnosed as fungus ball sinusitis by pathology after endoscopic surgery were admitted to Chinese PLA General Hospital from October 2014 to January 2015, and their medical data was retrospectively analyzed with lesion distribution and CT imaging features. Results Fungus ball sinusitis affected unilaterally in 66 cases (84.62%) and bilaterally in 12 cases (15.38%), of which,maxillary sinus was most frequently affected (64, 82.05%). CT findings showed soft tissue density within the sinus with punctate,linear, or cloud-like calcifications in 58 cases (74.43%); The bony walls of the sinus were sclerotic and thickened in 59 cases (75.64%). Conclusion Fungal ball sinusitis commonly affected only a single sinus with the predilection for the maxillary sinus. It is characterized by soft tissue density within the sinus with foci of calcific deposit and sclerosis and thickening of the wall of the paranasal sinuses in CT imaging. Definitive diagnosis still relies on pathological examination.关键词
真菌球型鼻窦炎/真菌球/CT扫描/病变部位/影像特征Key words
fungal ball sinusitis/fungus ball/CT scan/lesion location/imaging features分类
医药卫生引用本文复制引用
孙勇,张凤久,冯勃..真菌球型鼻窦炎的病变部位分布及CT影像特征分析[J].解放军医学院学报,2017,38(5):456-458,3.
