赵芸芸,董季平,宁文德,刘红生,张军俭,邬小平.HRCT诊断外伤性颞骨内耳损伤[J].中国医学影像技术,2017,33(10):1493~1496
HRCT诊断外伤性颞骨内耳损伤
HRCT for diagnosis of internal ear injuries caused by temporal bone trauma
投稿时间:2017-03-31  修订日期:2017-07-10
DOI:10.13929/j.1003-3289.201703177
中文关键词:  体层摄影术,X线计算机  颞骨  内耳  创伤和损伤
英文关键词:Tomography, X-ray computed  Temporal bone  Ear, inner  Wounds and injuries
基金项目:陕西省社发攻关计划项目(2014K12-09)。
作者单位E-mail
赵芸芸 西安交通大学附属西安市中心医院放射科, 陕西 西安 710003  
董季平 西安交通大学附属西安市中心医院放射科, 陕西 西安 710003 djp_xian@163.com 
宁文德 西安交通大学附属西安市中心医院放射科, 陕西 西安 710003  
刘红生 西安交通大学附属西安市中心医院放射科, 陕西 西安 710003  
张军俭 第四军医大学西京医院放射科, 陕西 西安 710032  
邬小平 西安交通大学附属西安市中心医院放射科, 陕西 西安 710003  
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中文摘要:
      目的 探讨HRCT诊断外伤性颞骨内耳损伤的价值。方法 对106例颞骨外伤患者进行HRCT轴位扫描,收集其中内耳损伤患者12例。应用Philips工作站,行颞骨(耳蜗、前庭、水平半规管、前半规管、后半规管) MPR并观察内耳损伤位置、类型及其相邻结构受累的情况。结果 12例内耳损伤患者中,内耳骨折8例,气迷路3例,耳蜗异物1例;3例合并外伤性迷路骨化。结论 HRCT扫描及MPR重建技术可清晰显示内耳受损情况,是诊断内耳损伤的有效方法。
英文摘要:
      Objective To explore the value of HRCT for the diagnosis of internal ear injuries caused by temporal bone trauma. Methods Totally 106 patients with temporal bone trauma were scanned by HRCT, and 12 patients with internal ear injuries were collected. MPR of temporal bone (cochlea, vestibule, horizontal semicircular canal, anterior semicircular canal and posterior semicircular canal) was performed on Philips workstation. The locations, types, and the involving structures were observed. Results Among the 106 cases of temporal bone trauma, 12 cases were internal ear injuries, including 8 cases of fractures of inner ear, 3 cases of pneumolabyrinth, and 1 case of foreign body in the cochlea, which 3 cases complicated with traumatic labyrinthine ossification. Conclusion HRCT and MPR can clearly reveal internal ear injuries, which are effective methods for diagnosis of internal ear injuries.
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