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目的探讨非侵袭性霉菌性鼻窦炎在CT扫描表现特征和诊断价值。方法将自2000-01—2006-07就诊我科的非侵袭性霉菌性鼻窦炎患者66例(70侧,均术后证实),仔细阅CT片,总结特点及变化。结果非侵袭性霉菌性鼻窦炎主要CT表现为单侧或双侧多个鼻窦窦腔内充填软组织密度影,以单侧多见,病变密度不均匀,其内可见呈斑点状或团块状、条带状高密度钙化影。部分病例可伴有鼻窦骨质吸收破坏。结论病变内钙化影的出现是本病的主要CT表现,是诊断该病较为可靠的依据。
Objective To investigate the features and diagnostic value of noninvasive fungal sinusitis in CT scan. Methods From January 2000 to July 2006, 66 patients with non-invasive fungal sinusitis (70 sides, both confirmed) were enrolled in our department. The CT images were carefully reviewed and the characteristics and changes were summarized. Results The main CT manifestations of noninvasive fungal sinusitis were unilateral or bilateral multiple sinonasal sinus cavity filled with soft tissue density, unilateral more common, the lesion density uneven, which was seen spotted or lumpy, Striped high-density calcification. In some cases may be associated with sinus bone destruction. Conclusion The appearance of intracranial calcification is the main CT manifestation of the disease and is the reliable basis for the diagnosis of the disease.