成釉细胞瘤的锥形束CT表现分析
目的: 对成釉细胞瘤的锥形束CT(CBCT)表现进行总结分析,为其临床诊断提供依据。方法 对病理确诊的有完整CBCT影像资料的37例成釉细胞瘤病例进行回顾性分析,观察其不同CBCT表现。结果 37例资料中,31例为原发病例,6例为复发病例。CBCT表现:37例病变中,有36例(97.3%)为骨内型,其中多房型17例,单房型17例,蜂窝型2例;1例(2.7%)为骨外型,即软组织型。88.2%(15/17)多房型病变内见舌形嵴;34例(94.4%)颌骨呈唇颊侧或(和)腭舌侧膨隆,颌骨骨密质局部不连续。结论 CBCT检查能精确地反映成釉细胞瘤病变形态和内部结构,对其术前诊断及手术计划具有重要的指导意...
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Published in | 华西口腔医学杂志 Vol. 32; no. 4; pp. 373 - 377 |
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Main Author | |
Format | Journal Article |
Language | Chinese |
Published |
口腔疾病研究国家重点实验室 华西口腔医院放射科 四川大学,成都,610041
2014
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Subjects | |
Online Access | Get full text |
ISSN | 1000-1182 |
DOI | 10.7518/hxkq.2014.04.013 |
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Summary: | 目的: 对成釉细胞瘤的锥形束CT(CBCT)表现进行总结分析,为其临床诊断提供依据。方法 对病理确诊的有完整CBCT影像资料的37例成釉细胞瘤病例进行回顾性分析,观察其不同CBCT表现。结果 37例资料中,31例为原发病例,6例为复发病例。CBCT表现:37例病变中,有36例(97.3%)为骨内型,其中多房型17例,单房型17例,蜂窝型2例;1例(2.7%)为骨外型,即软组织型。88.2%(15/17)多房型病变内见舌形嵴;34例(94.4%)颌骨呈唇颊侧或(和)腭舌侧膨隆,颌骨骨密质局部不连续。结论 CBCT检查能精确地反映成釉细胞瘤病变形态和内部结构,对其术前诊断及手术计划具有重要的指导意义。 |
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Bibliography: | Luo Jingjing, You Meng, Wen Chenni, Xu Laiqing, Zheng Guangning. (State Key Laboratory of Oral Diseases, Dept. of Radiological, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China) 51-1169/R 锥形束CT;ameloblastoma;cone-beam CT;clinical diagnosis Objective To summarize and analyze the cone-beam CT (CBCT) imaging features of ameloblastomas for clinical preoperative diagnosis. Methods Thirty-seven cases with complete data proven by pathology were retrospectively studied for distinct CBCT features. Results Of the 37 cases, 31 were primary and 6 were recurrent. On CBCT images, the 37 cases were composed of 36 cases (97.3%) of intraosseous lesions (17 cases of multilocular lesions, 17 cases of unilocular lesions, and 2 cases of honeycomb lesion) and 1 case (2.7%) of extraosseous lesion (soft tissue lesion). Of the 17 multilocular cases, 15 (88.2%) showed tongue-shaped crests in lesions. Thirty-four cases (94.4%) showed apparent expansible change toward lip/buccal and (or) palatal/lingual sides o |
ISSN: | 1000-1182 |
DOI: | 10.7518/hxkq.2014.04.013 |