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1、594實(shí)用放射學(xué)雜志2007年5月第23卷第5期JPractRadio,lMay2007,Vo.l23,No.5顳骨氣化與頸靜脈球高位關(guān)系的CT分析周建收,宦怡,牛娟琴,張勁松,魏夢(mèng)琦,鄭敏文(第四軍醫(yī)大學(xué)西京醫(yī)院放射科,陜西西安710032)摘要:目的探討乳突及巖尖氣化與頸靜脈球高位間的相關(guān)性。方法回顧性分析477例(954側(cè))顳骨CT片,統(tǒng)計(jì)乳突和巖尖的氣化分型及各型頸靜脈球高位的發(fā)生率,并對(duì)其作統(tǒng)計(jì)學(xué)分析。結(jié)果477例中頸靜脈球高位的出現(xiàn)率右側(cè)為40.67%(194例),左側(cè)為21.38%(102例);女性
2、出現(xiàn)率為35.37%,男性28.75%,差別均有統(tǒng)計(jì)學(xué)意義。巖尖氣化I型與III型頸靜脈球高位的發(fā)生率分別為31.25%及30.58%,乳突氣化型與其它型頸靜脈球高位的出現(xiàn)率分別為31.64%及29.02%,差別均不存在統(tǒng)計(jì)學(xué)意義。結(jié)論頸靜脈球高位的發(fā)生率在兩側(cè)及性別間存在差異;顳骨氣化與頸靜脈球高位沒有相關(guān)性。關(guān)鍵詞:顳骨;氣化;體層攝影術(shù),X線計(jì)算機(jī);頸靜脈球高位中圖分類號(hào):R651.1;R814.42;R543.4文獻(xiàn)標(biāo)識(shí)碼:A文章編號(hào):1002-1671(2007)05-0594-04CTAnalysisoftheCorr
3、elationbetweenTemporalBonePneumatizationandHighJugularBulbZHOUJian-shou,HUANYi,NIUJuan-qin,ZHANGJin-song,WEIMeng-qi,ZHENGMin-wen(DepartmentofRadiology,XijingHospital,theFourthMilitaryMedicalUniversity,Xian710032,China)Abstract:ObjectiveToexplorethecorrelationbetweenpr
4、ocessusmastoideusandpetrousapexpneumatizationandhighjugularbulb.MethodsTemporalCTfilmsin477cases(954sides)wereretrospectivelyanalyzedwithstatisticsmethods,andpneumatolysistypesofprocessusmastoideusandpetrousapexandtheincidencesofhighjugularbulbineachtypewerecalculated.Res
5、ultsOfallthe477cases,theincidenceofhighjugularbulbinrightsidewas40.67%(194cases),and21.38%inleftsides(102cases).Theincidenceinfemalewas35.37%,and28.75%inmale,withasignificantdifference.TheincidencesofhighjugularbulbinpetrousapexpneumatolysisIandIIIwere31.25%and30.58%,and3
6、1.64%and29.02%inprocessusmastoideuspneumatictypeandothertypes,withnosignificantdifference.ConclusionTherearedifferencesamongtheincidenceofhighjugularbulbbetweenbilateralastemporaleanddifferentsex,andthereisnocorrelationbetweentemporalbonepneumatizationandhighjugularbulb.K
7、eywords:temporalbone;pneumatization;tomography,X-raycomputed;highjugularbulb頸靜脈球高位是一種先天變異,其成因尚未有定例,鼓室球瘤1例。論。顳骨氣化是否對(duì)頸靜脈球高位的發(fā)生存在影響是1.2檢查方法檢查設(shè)備為GEHispeed雙排和一個(gè)值得研究的問題。一些學(xué)者對(duì)此做了研究,但意ToshibaAqulion/16sCT機(jī),掃描基線聽眥線,層厚[1]見存在分歧,Wadin等認(rèn)為其形成與顳骨巖部及乳0.5~1.0mm,Matrix512512,W/L4000HU/
8、400~突氣化程度相關(guān),氣化較差的顳骨頸靜脈球高位的發(fā)800HU,自基線以下5mm處向上連續(xù)掃描至巖錐上[2][3]生率高。但Asland及Orr等則認(rèn)為頸靜脈球高位緣。與顳骨的
