[1]侯朝华,宋立杰,潘砚章.多层螺旋CT在诊断茎突综合征中的应用价值[J].国际放射医学核医学杂志,2012,36(1):59-62.[doi:10.3760/cma.j.issn.1673-4114.2012.01.015]
　HOU Zhao-hua,SONG Li-jie,PAN Yan-zhang.Multiple-detector spiral CT in diagnosis of the application value of styloid process syndrome[J].International Journal of Radiation Medicine and Nuclear Medicine,2012,36(1):59-62.[doi:10.3760/cma.j.issn.1673-4114.2012.01.015]
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
36
期数:
2012年第1期
页码:
59-62
栏目:
临床放射医学
出版日期:
2012-01-25

文章信息/Info

Title:
Multiple-detector spiral CT in diagnosis of the application value of styloid process syndrome
作者:
侯朝华1;  宋立杰1;  潘砚章2
1. 300280 天津, 天津大港油田总医院放射科;
2. 300280 天津, 天津大港油田总医院超声影像科
Author(s):
HOU Zhao-hua1;  SONG Li-jie1;  PAN Yan-zhang2
Department of Radiology, Da Gang Oil Field General Hospital, Tianjin 300280, China
关键词:
茎突综合征; 图像处理; 计算机辅助; 体层摄影术; 螺旋计算机
Keywords:
Stem axon syndrome; Image processing;  computer-assisted; Tomography;  spiral computed
DOI:
10.3760/cma.j.issn.1673-4114.2012.01.015
摘要:
目的 探讨16层螺旋CT容积再现、表面遮盖法重建、多平面重建技术及最大密度投影技术在成人茎突测量中的应用及对茎突综合征(SPS)诊断的价值。方法 回顾性分析50例86侧临床诊断为SPS患者的16层螺旋CT及容积再现、表面遮盖法重建、多平面重建、最大密度投影重组资料,并测量茎突的长度及方位角。结果 茎突长度大于3 cm者69侧(80.2%),分节型茎突者45侧(52.3%),茎突向内偏斜角>25°者36侧(41.9%),向前偏斜角>25°者5侧(5.8%)。结论 茎突过长、茎突发育呈分节型和方位角异常是诊断SPS的重要依据。多层螺旋CT的容积再现、表面遮盖法重建、多平面重建、最大密度投影重组可为诊断SPS提供重要依据。
Abstract:
Objective To evaluate the value of styloid process measurement using 16-detector row spiral CT with volume rendering,shaded surface display,multi-planar reconstruction and maximum intensity projection reconstruction techniques in the diagnosis of adult styloid process syndrome (SPS).Methods 16-detector row spiral CT with volume rendering,shaded surfaee display,multi-planar reconstruction and maximum intensity projection reconstruction techniques were used in 50 patients (86 sides) with clinically suspected SPS,the length and deviated angle of styloid process were measured.Results In these 86 sides of styloid process,69 sides showed the length longer than 3 cm (80.2%),45 sides showed segmented styloid process (52.3%),the oblique angle of styloid process was deviated interually more than 25° in 36 sides (41.9%),and deviated anteriorly angle more than 25° in 5 sides (5.8%).Conclusion Over-length,segmentation and abnormal deviation of the oblique angle of styloid process are important criteria in the diagnosis of SPS,helpful information could be provided by multiple-detector spiral CT with volume rendering,shaded surface display,multi-planar reconstruction and maximum intensity projection reconstruction techniques.

参考文献/References:

[1] 乐杰.妇产科学.6版.北京.人民卫生出版社,2005:110.
[2] 镡旭民,杨桦,邓安春.茎突综合征的临床分析.中国医师杂志,2004,6(7):953-954.
[3] Karam C, Koussa S. Eagle syndrome:the role of CT scan with 3D reconstruetions. J Neuroradiol, 2007, 34(5):344-345.
[4] 董学武,郭英杰,王志彬.临床症状不同、诊断结果一致病案两例——(1)转头时反复出现眩晕2年多;(2)咽部异物感,偶伴头晕、头痛、视物模糊6年.中国医刊,2005,40(9):50-50.
[5] Thot B, Revel S, Mohandas R, et al. Eagle’ syndrome. Anatomy of the styloid process. Indian J Dent Res, 2000, 11(2):65-70.
[6] 徐秀娥,耿永志.牙痛为首发症状的茎突综合征1例报告.临床口腔医学杂志,2002,18(6):466-466.
[7] 黄连庆,陆武,周胜利,等.螺旋CT三维重建SSD和多平面重建MPR对成人茎突测量的研究.实用放射学杂志,2004,20(11):975-978.
[8] 童远明,邓士俊,李济安.茎突综合征28例临床与X线表观分析.临床耳鼻咽喉科杂志,2008,(7):48-50.
[9] 王志斌,刘秋润,崔永华,等.茎突X线平片与CT扫描三维成像的临床评价.临床耳鼻咽喉科杂志,2006,20(2):60-63.
[10] 邱大学,施建辉,曹文建,等.颞骨茎突的测量及其临床意义.解剖学杂志,2002,25(1):76-78.
[11] 肖轼之.耳鼻咽喉科学.北京:人民卫生出版社,1985:269-270.
[12] 兰宝森.中华影像医学:头颈部卷.北京:人民卫生出版社,2002:219-220.
[13] 张进华,周义成,肖明.茎突CT三维重建检查技术及测量方法探讨.放射学实践,2001,16(4):224-225.
[14] 顾卫根.茎突CT薄层冠状扫描方法及临床应用.实用放射学杂志,2001,17(6):424-427.
[15] 彭俊红,袁德华,王仁法.MSCT VR与MIP诊断成人茎突综合征的临床价值.放射学实践,2008,23(1):23-25.
[16] 陈春美,秦将均.64排螺旋CT重建技术在茎突综合征中的诊断价值.海南医学院学报,2009,15(7):798-800.
[17] 林达,邱乾德,许加俊,等.螺旋CT MPR重建在诊断茎突综合征中的应用价值.医学影像学杂志,2008,18(11):1229-1232.
[18] 王霞,盛蕾,刘军,等.多层螺旋CT对成人茎突测量与茎突综合征的诊断.医学影像学杂志,2006,16(5):452-454.

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备注/Memo

备注/Memo:
收稿日期:2011-10-05。
通讯作者:侯朝平,Email:zy_J9778899@sina.com
更新日期/Last Update: 1900-01-01