计算机辅助婴儿鼻窦CT影像解剖学研究  

Computer-assisted anatomical evaluation of the nasal sinuses in infants

作　　者：廖大红[1] 段传新[1] 

机构地区：[1]湖北省妇女儿童医院耳鼻咽喉科,武汉430071

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第23期1057-1059,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:了解婴儿鼻窦解剖特点和发育规律,为婴儿鼻窦发育提供具体数据,为婴儿鼻窦炎的诊断治疗提供理论依据。方法:通过CT影像工作站研究36例婴儿鼻窦冠状位CT,观察各鼻窦是否发育正常,并对发育鼻窦测量左右径和上下径。结果:36例婴儿72侧(100%)额窦均未发育。72侧上颌窦均发育,左侧上颌窦左右径为(8.69±3.75)mm,上下径为(9.37±2.36)mm;右侧上颌窦左右径为(8.95±2.79)mm,上下径为(9.06±2.66)mm。72侧前组筛窦均发育,左侧前组筛窦左右径为(3.63±1.17)mm,上下径为(8.21±2.72)mm;右侧前组筛窦左右径为(3.48±1.32)mm,上下径为(8.28±2.62)mm。72侧后组筛窦均发育。左侧后组筛窦左右径为(4.09±1.13)mm,上下径为(6.61±1.36)mm;右侧后组筛窦左右径为(4.01±1.28)mm,上下径为(6.63±1.97)mm。72侧蝶窦中22侧(30.6%)可见气化腔,50侧(69.4%)未见气化腔。结论:婴儿期鼻窦开始发育,以上颌窦和前后筛窦为主,部分婴儿蝶窦开始发育,额窦未发育。Objective：To analyze the anatomical and developmental characteristics of nasal sinuses in infants;and provide potential evidence for the diagnosis and treatment of sinusitis in infants.Method：Coronal CT scans for 36 infants（72 sides） were studied with the imaging station.Reference data were identified on these images using imaging station.The gasification conditions of the sinuses were identified and measured.Result：100% of the frontal sinuses were abscent,while 100% of the maxillary sinuses were developed.The mean of the transverse and vertical diameters for the left side of the maxillary sinuse was（8.69±3.75） mm and（9.37±2.36） mm,respectively.While those for the right side were（8.95±2.79）mm and（9.06±2.66） mm,respectively.All of the anterior and posterior ethmoid sinuses were developed.The mean transverse and vertical diameters for the left side of the anterior ethmoid sinus were（3.63±1.17）mm and（8.21±2.72） mm,respectively.While those mean for its right side were（3.48±1.32） and（8.28±2.62） mm,respectively.The mean transverse and vertical diameters for the left side of the posterior ethmoid sinus were（4.09±1.13）mm and（6.61±1.36） mm,respectively.While those for the right side were（4.01±1.28） mm and（6.63±1.97）mm,respectively.30.6%（22 sides） of the sphenoid sinuses were developed,while 69.4%（50 sides） were not.Conclusion：The nasal sinuses in infants have already developed.The development of the maxillary and ethmoid sinuses was clear and definite.The pneumatization of the sphenoid sinus was defined in some babies,however,the pneumatization of the frontal sinus was not defined in all babies.

关 键 词：婴儿 鼻窦 发育 CT扫描 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]