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鼻窦曲霉菌病的MRI诊断
引用本文:汪文胜,鲍克志,汪文晓,周协和,王新民.鼻窦曲霉菌病的MRI诊断[J].实用放射学杂志,2002,18(8):711-713.
作者姓名:汪文胜  鲍克志  汪文晓  周协和  王新民
作者单位:1. 安徽省安庆市石化医院,磁共振室,安徽,安庆,246001
2. 安徽省安庆市石化医院,五官科,安徽,安庆,246001
3. 安徽省安庆市石化医院,病理科,安徽,安庆,246001
摘    要:目的 探讨鼻窦曲霉菌病的MRI表现特征。方法 回顾分析 2 5例手术和病理证实的鼻窦曲霉菌病的MRI表现。结果  (1)经手术和病理证实的鼻窦曲霉菌病 2 5例 ,其中上颌窦 2 0例 ,鼻腔上颌窦筛窦 4例 ,蝶窦 1例。 (2 )MRI表现 :T1加权像表现为中等信号 6例、偏高信号 10例、高信号 4例 ,T2 加权像均表现为低或极低信号改变。结论 磁共振T1加权像高信号钙化为鼻窦曲霉菌病较为特征性的MRI表现 ,此特征对正确诊断具有重要意义

关 键 词:曲霉菌病  鼻窦  磁共振成像
文章编号:1002-1671(2002)08-0711-03
修稿时间:2002年5月15日

MRI Diagnosis of Aspergillus Disease in the Paranasal Sinuses
WANG Wen-sheng,BAOKe-zhi,WANG Wen-xiao,ZHOU Xie-he,WANG Xin-min.MRI Diagnosis of Aspergillus Disease in the Paranasal Sinuses[J].Journal of Practical Radiology,2002,18(8):711-713.
Authors:WANG Wen-sheng  BAOKe-zhi  WANG Wen-xiao  ZHOU Xie-he  WANG Xin-min
Abstract:Objective To study the MRI characteristics of aspergillus disease in the paranasal sinuses.Methods 25 cases of aspergillus disease in the paranasal sinuses proved by operation and pathology were analyzed retrospectively.Results (1) 25 patients were verified by operation and pathology, including maxillary sinus(n=20),nasal cavity and maxillary sinus and ethmoidali sinus(n=4), sphenoidallis sinus(n=1).(2)MRI specific sign included: T 1-weighted was indicated by 6 cases of medium signals, 10 cases of higher signal, 4 cases of high signal. T 2-weighted was all indicated by the change of low or lowest signal.Conclusion Calcification with hyperintensity on T 1-weighted MRI imaging is special MRI characteristics of aspergillus disease in the paranasal sinuses,it is of significance for the correct diagnosis and differential diagnosis.
Keywords:aspergillus disease  paranasal sinuses  MRI imaging
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