影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (6): 798-802.DOI: 10.7517/issn.1674-0475.210731

• 综述与论文 • 上一篇    下一篇

CT多征象诊断及鉴别诊断鼻-鼻窦真菌感染研究

胡凤玲1, 李艳艳2, 王军大1   

  1. 1. 重庆市中医院放射科, 重庆 400021;
    2. 重庆市中医院药剂科, 重庆 400021
  • 收稿日期:2021-07-27 出版日期:2021-11-15 发布日期:2021-11-11
  • 通讯作者: 王军大
  • 基金资助:
    重庆市中医院第二批批青年拔尖人才专项(CQSZYY2021002);2020年"杏林学者"学科人才科研提升计划(YYZX2020042);成都中医药大学校级基地教改建设项目(JGJD201922)

Study on CT Multi-sign Diagnosis and Differential Diagnosis of Fungal Infection of Rhinosinus

HU Fengling1, LI Yanyan2, WANG Junda1   

  1. 1. Department of Radiology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400021, P. R. China;
    2. Department of Pharmacy, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400021, P. R. China
  • Received:2021-07-27 Online:2021-11-15 Published:2021-11-11

摘要: 探讨鼻-鼻窦CT多征象及多个征象联合对鼻-鼻窦真菌感染的诊断及鉴别诊断价值。选取经耳鼻喉科就诊、且存在完整鼻窦CT扫描资料及鼻腔镜组织病理学检查患者107例作为研究对象,对性别、年龄及CT多征象进行分析,研究显示鼻-鼻窦真菌性感染与鼻窦其他病变的CT征象具有统计学意义(P<0.05);多因素Logistic回归分析显示软组织内团块状高密度影、钙化,邻近鼻窦壁骨质增生硬化,病灶范围位于上颌窦内的独立危险征象;3个征象联合绘制模型诊断价值最高,因此,CT扫描多征象对于诊断鼻-鼻窦真菌性感染具有重要价值,可以提高其诊断正确率。

关键词: CT扫描, 多征象, 鼻-鼻窦真菌性感染

Abstract: This study explored the diagnosis and differential diagnosis of rhinosinus sinuses with multiple CT signs and multiple signs combined in the diagnosis and differential diagnosis of rhinosinus fungal infections. A total of 107 patients with complete nasal sinus CT scan data and nasal endoscopic histopathological examination are selected with menstruation in the Department of Otolaryngology as the research objects. The gender, age, and CT signs are analyzed. The study showed that the CT signs of fungal infection of the nose and sinuses and other sinus diseases were statistically significant (P<0.05); multivariate logistic regression analysis showed that the soft tissues had high density and calcification in the soft tissues, adjacent to the sinus wall bone hyper-plasia and sclerosis, the lesion is located in the maxillary sinus, which is an independent risk sign; a combined drawing model of the three signs has the highest diagnostic value. Therefore, CT scan multiple signs are of great value for the diagnosis of rhinosinus fungal infections, which can im-prove the accuracy of diagnosis.

Key words: CT scan, multiple signs, rhinosinus fungal infection