嗅觉障碍与慢性鼻-鼻窦炎患者鼻腔鼻窦形态的相关性研究  

Correlation between olfactory disorders and morphology of nasal cavity

作　　者：赵红[1] 魏永祥[1] 苗旭涛[1] 张聪[1] 占小俊[1] 王鸿[1] 韩德民[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730

出　　处：《临床耳鼻咽喉头颈外科杂志》2007年第17期771-774,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：首医基础临床合作基金(No:02JL22)

摘　　要：目的:观察伴有嗅觉障碍的慢性鼻-鼻窦炎患者鼻腔鼻窦形态及其影像学表现,探讨嗅觉障碍与鼻腔鼻窦形态和影像改变的相关性。方法:对176例慢性鼻-鼻窦炎患者测试嗅觉功能,同时行鼻窦CT和鼻内镜检查,进行Lund-Mackey鼻窦CT评分及Kennedy鼻内镜评分,并观察嗅裂区阻塞情况,对检查及评分结果进行统计学分析。结果:①30例患者嗅觉正常(17.1%),109例患者有不同程度的嗅觉减退(61.9%),37例患者嗅觉丧失(21%);②Lund-Mackey鼻窦CT评分与嗅觉障碍的程度存在正相关(P<0.01);③Kennedy鼻内镜评分的变化与嗅觉障碍程度正相关(P<0.05)。结论:①嗅觉功能障碍与慢性鼻-鼻窦炎相关;②Lund-Mackey鼻窦CT评分系统对于嗅觉障碍的初步判断有一定临床意义;③Kennedy鼻内镜评分系统更侧重于评价鼻腔总体形态的改变。Objective：To analyze the correlation between olfactory disorders and the morphology of nasal cavity in chronic rhinosinusitis （CRS）. Method： One hundred and seventy-six patients with chronic rhinosinusitis and/ or polyps were included. Olfactory function, the morphology of nasal cavity and nasal sinus, especially the morphology of olfactory cleft, were surveyed by T＆T Olfactometer, nasal endoscope and computed tomography （coronal and horizontal position）. All patients were divided into 5 groups by different olfaction level. Data was achieved by the scoring endoscopic appearances of Kennedy, and CT staging system of Lund-Mackey and analyzed by SPSS 11.5. Result..OAmong all patients, 61.9% accompanied with hyposmia, 21% with anosmia , the other 17.1% with normal olfaction; （2） There was positive correlation between the scores of staging system of Lund- Mackey and the olfactory function level（ P 〈0.01） ;（3）There was positive correlation between the scores of endoscopic appearances of Kennedy and the olfactory function level （ P 〈0.05）. Conclusion： （1）Olfactory function were correlated with the severity of CRS; （2）As the determining methods of CRS, staging system of Lund-Mackey can be used to estimate the olfactory function generally and initially; （3）There was not significant difference between the scores of endoscopic appearances of Kennedy and the olfactory function level.

关 键 词：嗅觉障碍 鼻窦炎 体层摄影术 X线计算机 内镜检查 

分 类 号：R765.41[医药卫生—耳鼻咽喉科] R765.63[医药卫生—临床医学]