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Objective: To assess the role of computed tomography in the evaluation of fungal naso-sinusitis. Materials and Methods: The images and pathologic data of 18 patients with pathologically proved fungal naso-sinusitis were analysed. Results: The characteristic findings on the CT were as follows: ①The lesion on unilateral side was more commonly seen) ②The maxillary sinuses were infected more commonly than the other paranasal sinuses) ③Some calcifications inside the lesion with inhomogeneous...

Objective: To assess the role of computed tomography in the evaluation of fungal naso-sinusitis. Materials and Methods: The images and pathologic data of 18 patients with pathologically proved fungal naso-sinusitis were analysed. Results: The characteristic findings on the CT were as follows: ①The lesion on unilateral side was more commonly seen) ②The maxillary sinuses were infected more commonly than the other paranasal sinuses) ③Some calcifications inside the lesion with inhomogeneous density were seen) ④Destruction of bone with limited osteosclerosis. Conclusion: CT is helpful to distinguish between fungal naso-sinusitis and tumors located within paranasal sinus. There are noteworthy meaning in the diagnosis of position and the property of pathological changes in paranasal sinuses.

目的:探讨CT对霉菌性鼻窦炎的诊断价值。材料与方法:收集18例经病理证实的霉菌性鼻窦炎的影像资料进行分析。结果:根据其CT表现可归纳如下特点:①病变多为单侧性;②病变部位以上颌窦为主;③不均匀密度中夹杂高密度钙化影;④局限性骨质增生与破坏。结论:CT不仅能明确病变部位,而且在定性诊断方面具有特征性意义;与细菌性鼻窦炎及鼻窦肿瘤有鉴别价值。

 
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