变应性鼻炎与慢性鼻窦炎的关系  

The relationship between perennial allergic rhinitis and chronic sinusitis

作　　者：吴建平[1] 陶泽璋[2] 许昱[2] 孔勇刚[2] 吴玉珍[2] 

机构地区：[1]红安县人民医院耳鼻咽喉科,湖北红安438400 [2]武汉大学人民医院耳鼻咽喉-头颈外科

出　　处：《临床耳鼻咽喉科杂志》2005年第17期790-791,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的:观察常年性变应性鼻炎患者鼻窦炎发生的原因及发生率。方法:回顾性分析57例常年性变应性鼻炎患者的临床资料。结果:18例并发鼻窦炎,发生率为32%;其中17例伴有不同程度不同类型的鼻腔解剖结构异常,包括鼻中隔偏曲、中鼻甲气化、钩突肥大、中鼻甲曲线异常和鼻丘气房过度发育等。39例单纯变应性鼻炎者只有7例伴有鼻腔解剖结构异常。结论:变应性鼻炎并发鼻窦炎的基础可能是鼻腔解剖结构异常,变态反应导致的鼻腔黏膜水肿和鼻腔分泌物性质的改变是鼻窦炎的诱发因素之一。Objective：To observe the incidence rate of chronic sinusitis in the patients with perennial allergic rhinitis, and explore the possible etiology of sinusitis. Method：Fifty-seven patients were examined with endoscope and CT scan. Result：Of the 57patients, 18 （32%）patients had chronic sinusitis, among which 17 patients had different kinds and different extents of anatomy abnormalities of nose cavity including deviation of nasal septum, concha bullosa, hypertrophy of uncinate process, parpdoxical curvature of middle turbinate,etc. Thity-nine patients didn＇t complicated with chronic sinusitis, among which only 7 patients had anatomy abnormalities of nose cavity. Conclusion：Anatomy abnormalities of nose cavity may be the basic etiology of sinusitis in patients with perennial allergic rhinitis, The edema of nasal mucous and the change of nasal discharge caused by perennial allergic rhinitis may be the triggering factor of chronic sinusitis. Both of these two factors are involved in the pathogenesis of sinusitis.

关 键 词：鼻炎 变应性 鼻窦炎 

分 类 号：R764[医药卫生—耳鼻咽喉科]