多层螺旋CT对窦口鼻道复合体解剖变异及鼻窦炎诊断的临床应用价值  

Clinical application value of multi slice spiral CT in the variation of sinus and nasal complex and sinusitis diagnosis

作　　者：张爱军 

机构地区：[1]通渭县人民医院放射科,甘肃通渭743300

出　　处：《中国医学文摘（耳鼻咽喉科学）》2016年第2期84-86,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的研究多层螺旋CT对窦口-鼻道复合体（OMC）变异及鼻窦炎诊断的临床应用价值。方法选取2014年5月~2015年4月我院收治的192例慢性鼻窦炎患者,其中40例行鼻内镜手术。经多层螺旋CT观察OMC的解剖变异、鼻窦炎症及鼻内镜技术在手术中的应用。结果 192例慢性鼻窦炎症患者中,有164例（85.4%）为OMC解剖变异,其中泡状鼻甲30.21%（58/192）,反常中鼻甲9.38%（18/192）,钩突肥厚13.54%（25/192）,钩突内侧偏移11.64%（22/192）,钩突外侧偏移4.17%（8/192）,钩突气化3.13%（6/192）,Haller气房8.33%（16/192）,鼻丘气房9.38%（18/192）,鼻中隔偏曲25%（48/192）。鼻及鼻窦炎发病部位分布：前组筛窦168例,后组筛窦72例,上颌筛窦134例,上颌窦126例,额隐窝38例,额窦28例,碟窦16例。行鼻内镜手术患者术中所见和CT显示一致。结论慢性鼻窦炎患者OMC变异及解剖结构采取多层螺旋CT进行观察具有重要的价值,尤其是对功能性内镜鼻窦手术具有重要作用。Objective To study the clinical application value of multi slice spiral CT in the variation of sinus and nasal complex（OMC）and sinusitis diagnosis.Methods From May 2014 to April 2015,192 cases with chronic sinusitis,including 40 cases underwent nasal endoscopic surgery were included in this study.OMC anatomical variations and sinusitis were observed by multi-slice spiral CT.Nasal sinus endoscope was used in the surgery.Results Of the 192 cases,164 cases（85.4%）were proved with OMC anatomical variations,including 30.21% concha bullosa,9.38% abnormal middle turbinate,13.53% uncinate process hypertrophy,11.64% uncinate medial offset,4.17% lateral deviation of uncinate process,3.13%cuncinate gasification,8.33% Haller cell and 9.38% agger nasi cell,and 25% nasal septum deviation.The nasal sinusitis distribution：168 cases of anterior ethmoid sinus,72 cases of ethmoid sinus,134 cases of maxillary sinus,126 cases of maxillary sinus,38 cases of frontal recess,8 cases of frontal sinus,and 16 cases of disc sinus.Observations during the operation were similar with CT.Conclusion OMC variation and anatomical structure of the patients with chronic sinusitis observed with multi slice spiral CT were of important value,especially in FESS.

关 键 词：多层螺旋CT 窦口-鼻道复合体 鼻窦炎 

分 类 号：R737.9[医药卫生—肿瘤]