茎突三维CT重建对茎突综合征患者手术的指导作用

陈怀宏; 程勇; 刘雄; 李刚; 王路; 李湘平

doi:10.13201/j.issn.1001-1781.2014.21.016

茎突三维CT重建对茎突综合征患者手术的指导作用

- 1 南方医科大学南方医院耳鼻咽喉科(广州, 510515);
- 2 南方医科大学南方医院放射科

详细信息

通讯作者: 李湘平,E-mail:li321162@qq.com

中图分类号: R445.3

收稿日期: 2014-04-21

Function of three-dimensional reconstruction of CT scan to the operation of eagle syndrome

- 1 Department of Otorhinolaryngology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China;
- 2 Department of Radiology, Nanfang Hospital, Southern Medical University

More Information

Corresponding author: LI Xiangping, E-mail: li321162@qq.com

Received Date: 21 April 2014

摘要

摘要: 目的:探讨茎突三维CT重建对茎突综合征患者手术的指导作用。方法:对2006-07-2010-06期间48例茎突综合征患者行茎突三维CT重建联合茎突X线正侧位片检查,经影像科专科医师阅片测量,并行手术。结果:茎突三维CT对细节的显示更为准确,可判断是否存在茎突骨质的中断、偏斜、舌骨韧带骨化等细节。10例(20.83%)患者X线检查与三维CT诊断存在差异,两者差值>0.5 cm,三维CT测量值为(3.11±0.62)cm,X线片测量值为(4.16±1.27)cm,差异有统计学意义(P<0.05)。6例(12.5%)患者口内未扪及骨质,且X线检查与三维CT诊断不符;1例保守治疗后好转,余5例经口径路均未探查到骨质;口内未扪及骨质的5例患者手术时间较其他41例患者明显延长[(45.6±15.7)s、(25.3±4.2)s,P<0.05]。结论:茎突三维CT重建可重复性好,细节分辨率高,是茎突综合征患者的重要诊断依据。对于口内未扪及骨质而X线提示茎突骨质过长者,建议进一步三维CT检查以明确诊断,避免不必要的手术探查。
- 茎突综合征 /
- 体层摄影术 /
- X线计算机 /
- 手术
Abstract: Objective:To investigate the guiding function of three-dimensional CT scan in the operation of eagle syndrome. Method:There were 48 cases of eagle syndrome hospitalized during July 2006 to June 2010 who underwent both three-dimensional reconstruction of CT scan and adem position and lateral X ray film. The images were measured by specialist of radiology department.Result:The detail of styloid process is showed more precisely by three-dimensional CT scan, which is able to determine the existence of interrupt, decline, ossification in styloid process. There was significant difference in the measured value (20.83%) between X ray and CT scan (4.16±1.27)cm vs (3.11±0.62)cm,P<0.05, in 10 cases. We could not touch styloid process in oral approach in 6 cases (12.5%), which also had diagnostic confliction between X ray and three-dimensional CT scan. Five patients whose styloid process could not be touched during surgery had longer operation time than the other 41 patients.Conclusion:Three-dimensional CT has good repeatability, high detailed distinguishability, which is an important basis to diagnose eagle syndrome. When X ray shows prolonged styloid process which can not be palpable in oral, we suggest further three-dimensional CT to avoid unnecessary surgery.
- styloid process syndrome /
- tomography /
- X-ray computed /
- surgery

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