乙状窦憩室引起搏动性耳鸣的CT血管造影诊断.pdfVIP

中国耳鼻咽喉头颈外科/2011年4月，第18卷，第4期 乙状窦憩室引起搏动性耳鸣的CT血管造影诊断 郭健，王振常，鲜军鲂，王征宇，刘兆会 （首都医科大学附属北京同仁医院放射科，北京　100730） 　评价 血管造影在诊断乙状窦憩室异常 [摘　要]　目的 CT [ABSTRACT]　OBJECTIVE　To evaluate the diagnostic 引起搏动性耳鸣的应用价值。 　搜集 例乙状窦壁异 方法 12 value of CT arteriography and venography in pulsatile 常所致搏动性耳鸣患者，回顾性分析 血管造影表现。 CT tinnitus caused by sigmoid sinus diverticulum. METHODS 　 例乙状窦壁异常引起搏动性耳鸣患者中右侧 例， 结果 12 9 Ret ros pect iv e ly st ud ies of CT a rt e riog ra phy a nd 左侧 例。 血管造影表现为乙状窦前外壁或外壁骨质缺 3 CT venography imaging of 12 cases of pulsatile tinnitus caused 损，边缘光整的软组织团块突入乳突蜂房内，其中 例突出 2 by sigmoid sinus diverticulum. RESULTS　12 cases of 至皮下，突出的软组织与乙状窦相延续且密度相等。结论 pulsatile tinnitus caused by sigmoid sinus diverticulum CT血管造影检查对于乙状窦壁异常所致搏动性耳鸣的诊断 were identified, in which nine of twelve were right side, 及鉴别诊断具有重要价值，但临床仍需结合耳鸣特点选择 and three were left side. CT showed bone defects of 检查。 the wall of sigmoid sinus combined with invasion of soft 　耳鸣；体层摄影术， 线计算机；憩室；乙状窦 [关键词] X t issues mass w hich was cont inued and isodensit ied with sigmoid sinus in mastoid cells. CONCLUSION　CT CT arteriography and venography diagnosis arteriography and venography can be valuable imaging in pulsatile tinnitus caused by sigmoid sinus tools in the diagnose and differential diagnose of pulsatile diverticulum tinnitus caused by sigmoid sinus diverticulum. With this GUO Jian, WA NG Zhenchang , X IA N Junfang , WA NG