真菌性上颌窦炎91例临床及CT影像学分析探索

目的:探讨对真菌性上颌窦炎诊断时使用CT的临床及影像学分析。方法:在2017年9月-2019年9月的时间段内,选择91例真菌性上颌窦炎患者作为研究组,并选择同时期进行健康体检的患者91例设为对照组,研究组经过手术病理证实为真菌性上颌窦炎,使用CT扫描对所有患者进行诊断,分析研究组的诊断准确率,研究组的临床表现和两组的影像学对比。结果:研究组的诊断准确率与手术病理结果没有差异(P>0.05),研究组影像学的特征均比对照组明显(P<0.05)。结论:对真菌性上颌窦炎诊断时使用CT,诊断准确率较高,真菌性上颌窦炎临床表现主要以脓涕、涕中带血、压痛、面部肿胀、鼻塞伴头痛为主,影像学为高密度不均匀结节状软组织,斑点状、细条状团块钙化灶,骨质增生硬化等,因此诊断有临床推广的价值。

Clinical and CT Imaging Analysis of 91 Cases of Fungal Maxillary Sinusitis

Objective:To investigate the clinical and CT imaging analysis in the diagnosis of fungal maxillary sinusitis.Methods:In the period from September 2017 to September 2019,91 cases with fungal maxillary sinusitis were selected as study group,and 91 patients with healthy physical examination at the same time were selected as control group.The study group confirmed fungal maxillary sinusitis by surgical pathology,CT scan was used to diagnose all patients,and the diagnostic accuracy of the study group was analyzed.The study group’s clinical manifestation was compared with the imaging of the two groups.Results:The study group was no difference between the diagnostic accuracy and surgical pathology(P>0.05).The imaging characteristic of the study group were more obvious than the control group(P<0.05).Conclusion:CT was used in the diagnosis of fungal maxillary sinusitis,and the diagnosis accuracy was high.The clinical manifestation of fungal maxillary sinusitis is mainly abscess,nostril with blood,tenderness,facial swelling,nasal congestion and headache.Imaging is a high-density and uneven nodular soft tissue,speckle,thin strips of calcified stove,bone hyperplasia and sclerosis,so the diagnosis has clinical value.