CT影像对1-2岁幼儿鼻窦解剖学研究  

Computer-assisted anatomical evaluation of the nasal sinuses in 1-2 years old children

作　　者：廖大红[1] 许胜[1] 张飞[1] 田滢[1] 刘颖华[1] 段传新[1] 

机构地区：[1]湖北省妇幼保健院耳鼻咽喉科,武汉430071

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第23期2035-2038,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨1-2岁幼儿鼻窦解剖学特点和发育规律,并提供具体数据,为其诊断治疗提供理论依据。方法：通过CT影像工作站研究60例1-2岁幼儿鼻窦冠状位CT结果,观察各鼻窦发育情况,并对发育鼻窦测量左右径和上下径。结果：60例患儿120侧额窦均未发育,120侧上颌窦均发育。左侧上颌窦左右径为（13.32±2.88）mm,上下径为（13.55±2.43）mm;右侧上颌窦左右径为（13.63±2.75）mm,上下径为（13.59±2.13）mm。120侧前组筛窦均发育,左侧前组筛窦左右径为（3.94±0.86）mm,上下径为（11.92±1.67）mm;右侧前组筛窦左右径为（3.88±0.88）mm,上下径为（12.18±1.86）mm。120侧后组筛窦均发育,左侧后组筛窦左右径为（6.02±1.07）mm,上下径为（10.51±1.43）mm;右侧后组筛窦左右径为（5.91±1.20）mm,上下径为（10.51±1.55）mm。120侧蝶窦中14侧（11.7%）未见气化腔,106侧（88.3%）可见气化腔,106侧左侧蝶窦左右径为（5.18±2.15）mm,上下径为（5.78±1.86）mm;右侧蝶窦左右径为（4.91±2.24）mm,上下径为（5.89±2.03）mm。结论：1-2岁幼儿鼻窦（上颌窦、前后筛窦）已全部发育。大多数1-2岁幼儿蝶窦已发育,但额窦未发育。1-2岁幼儿可患急性鼻-鼻窦炎,应给予积极对症治疗,避免并发症发生。Objective：To analyze the anatomical and developmental characteristics of nasal sinuses in 1-2years old children;and provide potential evidence for the diagnosis and treatment of sinusitis in 1-2years old children.Method：Coronal CT scans of 60cases（1-2years old children）were studied with the imaging station.Reference datas 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 not developed,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（13.32±2.88）mm and（13.55±2.43）mm,respectively.While those for the right side were（13.63±2.75）mm and（13.59±2.13）mm,respectively.The anterior and posterior ethmoid sinuses were 100% developed.The mean transverse and vertical diameters for the left side of the anterior ethmoid sinus were（3.94±0.86）mm and（11.92±1.67）mm,respectively.While those mean for its right side were（3.88±0.88）mm and（12.18±1.86）mm,respectively.The mean transverse and vertical diameters for the left side of the posterior ethmoid sinus were（6.02±1.07）mm and（10.51±1.43）mm,respectively.While those for the right side were（5.91±1.20）mm and（10.51±1.55）mm,respectively.88.3%（106sides）of the sphenoid sinuses were developed,while 11.7%（14sides）were not developed.The mean transverse and vertical diameters for the left side of the sphenoid sinus were（5.18±2.15）mm and（5.78±1.86）mm,respectively.While those for the right side were（4.91±2.24）mm and（5.89±2.03）mm,respectively.Conclusion：The nasal sinuses in 1-2years old children have been already developed.The development of the maxillary and ethmoid sinuses was clear and definite.The pneumatization of the sphenoid sinus was defined in many babies;however,the pneumatization of the frontal sinus was not defined in all babies.Acute rhinosinusitis in 1-2years old children is not un

关 键 词：幼儿 鼻窦 发育 CT检查 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]