中华耳科学杂志2017，Vol.15Issue(5)：510-517,8.DOI:10.3969/j.issn.1672-2922.2017.002.
高分辨螺旋CT面神经管重建成像在贝尔面瘫和亨特综合征中的应用价值
The Value of Displaying Facial Nerve Canal (FNC) by High Resolution Spiral CT Reformatting Imaging in Management of Bell's Palsy and Ramsay-Hunt Syndrome
赵琨 1李健东 2付志强 1赵亮 2于春刚 2庞宇1
作者信息
- 1. 秦皇岛市第一医院耳鼻喉科 河北066000
- 2. 国家电网公司北京电力医院 北京100073
- 折叠
摘要
Abstract
Objective To evaluate the value of high resolution spiral CT multiplanar reformatting (MPR) and curved planar reformatting (CPR) for displaying the facial nerve canal (FNC) in the diagnosis and treatment of Ram-say-Hunt Syndrome and Bell's palsy. Methods We retrospectively reviewed clinical and imaging data of 105 patients, seen at Beijing Electric Hospital from May 2014 to May 2015, who were diagnosed with Ramsay-Hunt Syndrome (n=42) or Bell palsy. Patients were examined by high resolution spiral CT and MPR and CPR were used to display the fa-cial nerve canal. The diameter of the facial nerve canal at different positions was established and compared between the two peripheral facial paralysis conditions for inter-condition and time course correlations. Results 1.Measurements of the healthy and disease sides showed statistically significant differences in both groups. 2. The diameter and cross-sec-tional area of geniculate ganglion, as well as diameter of the labyrinthine, were greater in Hunt syndrome than in Bell's palsy. 3. The diameter of the mastoid segment and Sunnybrook score were associated with the time course in Bell's pal-sy, whereas the diameter of the vertical segment and CSA of the geniculate ganglion were associated with the time course in Hunt syndrome. Conclusions High resolution spiral CT multiplanar reformatting and curved planar reformat-ting can provide useful information for the research, as well as diagnosis and treatment, of Ramsay-Hunt Syndrome and Bell's palsy.关键词
贝尔麻痹/亨特综合征/多平面重建/曲面重建Key words
Bell paralysis/Hunt Syndrome/Multiplanar Reformation (MPR)/Curved Planar Reformation (CPR)分类
医药卫生引用本文复制引用
赵琨,李健东,付志强,赵亮,于春刚,庞宇..高分辨螺旋CT面神经管重建成像在贝尔面瘫和亨特综合征中的应用价值[J].中华耳科学杂志,2017,15(5):510-517,8.
