论文部分内容阅读
目的分析鼻内镜术后并发症的影像学特点。方法回顾分析18例鼻内镜术后并发症的影像表现,结合临床分析其特点。结果眼眶骨质局限性缺损15例,其中眶内壁14例;内直肌中断1例;肌锥内外间隙弥漫性软组织影6例;视神经迂曲、增粗、边缘模糊5例;颅底局限性骨质缺损7例,其中筛板5例,蝶窦上壁2例;2例脑膜脑膨出见于筛板骨质缺损;2例脑脊液鼻漏分别见于右侧筛板和蝶窦上壁局限性缺损,以及左侧鼻泪管骨质缺损1例。结论CT可准确发现鼻内镜术后并发症的部位和范围,MR检查可用于复杂并发症的诊断。
Objective To analyze the imaging features of complications after endoscopic sinus surgery. Methods Retrospective analysis of 18 cases of postoperative complications of endoscopic image performance, combined with clinical analysis of its characteristics. Results There were 15 cases of limited orbital bone defects, including 14 cases of orbital wall, 1 case of rectus abdominis, 6 cases of diffuse soft tissue grafts in and outside the muscle cone, 5 cases of optic nerve tortuosity and thickening, 7 cases of quality defects, including 5 cases of sieve plate, sphenoid sinus wall in 2 cases; 2 cases of meningeal bulge seen in the plate bone defect; 2 cases of cerebrospinal fluid rhinorrhea found in the right side of the sieve plate and sphenoid sinus wall defects , And left nasolacrimal duct bone defect in 1 case. Conclusion CT can accurately find the location and range of complications after endoscopic sinus surgery. MR examination can be used to diagnose complicated complications.