山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (2): 17-19.doi: 10.6040/j.issn.1673-3770.0.2014.307

• 论著 • 上一篇    下一篇

中耳胆脂瘤的高分辨率CT盾板表现

郭艳红, 潘焱, 王济生   

  1. 新乡市中心医院耳鼻咽喉科, 河南 新乡 453000
  • 收稿日期:2014-09-11 出版日期:2015-04-16 发布日期:2015-04-16
  • 作者简介:郭艳红。E-mail:guoyanhong2048@163.com

High-resolution CT findings of scutum in cholesteatoma of middle ears

GUO Yan-hong, PAN Yan, WANG Ji-sheng   

  1. Department of Otolaryngology, Xinxiang City Central Hospital, Xinxiang 453000, Henan, China
  • Received:2014-09-11 Online:2015-04-16 Published:2015-04-16

摘要: 目的 探讨中耳胆脂瘤的高分辨率CT(HRCT)盾板表现, 评价盾板破坏在中耳胆脂瘤的诊断价值。方法 选择经手术及术后病理确诊的中耳胆脂瘤患者38例(42耳)为研究对象, 分析其HRCT影像资料。结果 38例(42耳)中耳胆脂瘤患者中发生盾板破坏37耳, 盾板完整、鼓膜松弛部穿孔或紧张部穿孔4耳, 鼓膜完整1耳。结论 盾板破坏是诊断中耳胆脂瘤的特征性CT 征象, 诊断特异性强、敏感性差。部分中耳胆脂瘤患者, 颞骨CT盾板可表现为完整。

关键词: 胆脂瘤, 盾板, 高分辨率CT

Abstract: Objective To evaluate erosion of scutum in the diagnosis of middle ear cholesteatoma by high-resolution CT scan(HRCT). Methods HRCT findings of 38 patients(in 42 ears)with middle ear cholesteatoma in our department were reviewed. The condition of the scutum was observed with CT scanning and surgical findings. Result There are 37 ears with erosion of scutum, 4 ears with marginal/central perforation and 1 ear with intact tympanic membrane. Conclusion Scutum erosion demonstrates an important role in the diagnosis of cholesteatoma of middle ear, however, this sign cannot be found in some patienas with cholesteatoma.

Key words: High-resolution CT, Scutum, Cholesteatoma

中图分类号: 

  • R764.21
[1] 彭利,雍军,刘立中, 等.胆脂瘤型中耳炎听力损害的临床分析[J].中华耳科学杂志,2010,8(3):272-274. PENG Li, YONG Jun, LIU Lizhong, et al. Analysis of hearing loss in middle ear cholesteatoma[J]. Chin J Otology, 2010, 8(3):272-274.
[2] 孙晓卫,张建基,丁元萍, 等.高分辨率CT对慢性化脓性中耳炎和胆脂瘤中耳炎软组织分型的诊断价值[J].中华耳鼻咽喉头颈外科杂志,2011,46(5):388-392. SUN Xiaowei, ZHANG Jianji, DING Yuanping, et al. Efficacy of high-resolution CT in differential diagnosis of chronic suppurative otitis media and cholesteatoma otitis media by soft-tissue shadows[J]. Chin J Otorhinolarynol Head Neck Surg, 2011, 46(5):388-392.[3] 相丽,郑穗生.64排128层螺旋CT图像重建技术对胆脂瘤型中耳炎的术前评估价值[J].中国CT和MRI杂志,2011,09(5):24-27. XIANG Li, ZHENG Suisheng. The Value of Preoperative Assessment about Otitis Media with Cholesteatoma by Image Reconstruction of 64-Multidetector 128-Slice Computer Tomography[J]. Chin J CT MRI, 2011, 09(5):24-27.
[4] 陈树斌,赵守琴,龚树生,等.中耳先天性胆脂瘤的高分辨率CT表现[J].中国耳鼻咽喉头颈外科,2011,18(2):67-69. CHEN Shubin, ZHAO Shouqin, GONG Shusheng, et al. High- resolution CT findings of congenital cholesteatoma in middle ears[J]. Chin Arch Otolaryngol Head Neck Surg, 2011, 18(2):67-69.
[5] 周敬淳,龚桃根,柯朝阳, 等.胆脂瘤型中耳炎并发迷路瘘管38例临床分析[J].中华耳科学杂志,2011,9(4):423-425. ZHOU Jingchun, GONG Taogen, KE Zhaoyang, et al. Labyrinthine fistula caused by chronic otitis media with cholesteatoma[J]. Chin J Otol, 2011, 9(4):423-425.
[6] 王进,何跃.慢性化脓性中耳炎及中耳胆脂瘤术前颞骨CT及耳内镜评估的意义[J].山东大学耳鼻喉眼学报,2013,27(6):45-47. WANG Jin, HE Yue. Significance of preoperative temporal bone CT and endoscopy on the treatment of chronic suppurative otitis media[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6):45-47.
[7] Dornhoffer J L. Retrograde mastoidectomy[J]. Otolaryngol Clin North Am, 2006, 39(6):1115-1127.
[8] 刘铁,夏爽,谢曼, 等.高分辨率CT在外耳及中耳畸形诊断中的应用[J].实用放射学杂志,2011,27(11):1656-1658. LIU Tie, XIA Shuang, XIE Man, et al. High resolution CT in the diagnosis of malformation of external and middle ear[J]. J Prac Radiol, 2011, 27(11):1656-1658.
[9] 边致强,刘亚群,李笃民, 等.多层螺旋CT对婴幼儿先天性感音性耳聋的诊断价值[J].山东大学学报:医学版,2007,45(12):1257-1260. BIAN Zhiqiang, LIU Yaqun, LI Dumin, et al. Multi-slice computed tomography imaging for congenital sensorineural hearing loss in infants[J]. J Shandong Univ: Health Sci, 2007, 45(12):1257-1260.
[1] 高欣妤,周函,刘丁丁,陆玲,陈杰,钱晓云. 中耳胆脂瘤伴高位颈静脉球1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 82-87.
[2] 翟贯虹,于司函,张志强,于常旭,崔哲洙. 中耳胆脂瘤合并面瘫的手术后疗效分析[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 20-25.
[3] 杨扬, 王晓旭, 张杰. 儿童中耳胆脂瘤诊治进展[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 1-6.
[4] 万怡宁,张德军,傅则名,郭芳,郭颖媛,管国芳. 磁共振弥散加权成像在先天性中耳胆脂瘤精准诊断与JOS分期中的应用探讨12例[J]. 山东大学耳鼻喉眼学报, 2021, 35(6): 65-69.
[5] 樊慧娟,张海利. HIF-1α与VEGF在中耳胆脂瘤中的研究进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 93-97.
[6] 郭芳,张德军,傅则名,郭颖媛,万怡宁,管国芳. 外耳道胆脂瘤并发化脓性腮腺炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 12-15.
[7] 张孟璐,李永团. 继发性胆脂瘤中CCL27的定位及检测[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 46-48.
[8] 王登元,陈智斌,陈若希,赵晓埝,刘丞. 外耳道胆脂瘤的临床特征及疗效评估[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 62-66.
[9] 杜丽君,童军,陈文文,邓亚新,蔡勋华,单良. 单侧听力耳中耳炎手术经验再探讨[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 8-10.
[10] 朱琳,张德军,管国芳,郭颖媛. 显微镜联合耳内镜手术治疗岩尖巨大胆脂瘤一例[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 101-103.
[11] 刘斌,江育玲,肖旭平. 钛质人工听小骨在开放式鼓室成形术中的疗效观察与应用体会[J]. 山东大学耳鼻喉眼学报, 2016, 30(4): 80-83.
[12] 刘谦虚, 张志钢, 赵晓明, 李海鸥. 中青年与老年慢性化脓性中耳炎及中耳胆脂瘤患者听力学特点及区别[J]. 山东大学耳鼻喉眼学报, 2015, 29(3): 24-28.
[13] 陈泽, 钟兆棠, 梁敏志. 前壁外耳道-鼓膜瓣应用于开放式鼓室成形术31例[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 11-15.
[14] 于燕妮, 王娜, 陆海卫, 范献良, 许安廷. 中耳先天性胆脂瘤1例[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 90-91.
[15] 李少华,孙一帆,卢标清. 双软组织血管瓣填塞乳突术腔的临床研究[J]. 山东大学耳鼻喉眼学报, 2014, 28(1): 6-7.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!