窦口鼻道复合体区解剖变异影像分析及与鼻-鼻窦炎的关系  

The relationship between the sinusitis and anatomic variations in ostiomeatal complex

作　　者：邓玉琴[1] 杨雅琪[1] 陶泽璋[1] 孔勇刚[1] 许昱[1] 陈始明[1] 

机构地区：[1]武汉大学人民医院耳鼻喉科,湖北武汉430060

出　　处：《山东大学耳鼻喉眼学报》2016年第2期46-49,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：国家自然基金青年项目(81300813);武汉大学专项科研基金(302274669)

摘　　要：目的用高分辨率CT对鼻腔鼻窦炎进行影像学分析,探讨窦口鼻道复合体（OMC）区的解剖变异与儿童鼻窦炎、成人慢性鼻-鼻窦炎的关系。方法回顾性分析有明显临床表现且经CT扫描确诊为慢性鼻-鼻窦炎167例的临床资料,年龄4~74岁,并将其影像学资料分为儿童组和成人组,并对其分析结果进行比较。结果 1儿童组和成人组的窦腔炎症最常累及上颌窦、前组筛窦和额窦;2儿童组的窦口鼻道复合体区解剖变异与慢性鼻-鼻窦炎的发生没有明显关系,而成人组的窦口鼻道复合体区解剖变异与慢性鼻-鼻窦炎的发生关系显著（P〈0.05）。结论窦口鼻道复合体区的解剖变异对儿童慢性鼻-鼻窦炎的发生不如对成人的影响大,儿童慢性鼻-鼻窦炎的诊断和手术指征不能单凭异常的鼻窦CT扫描图作为惟一依据,应该切实联系临床症状。Objective To analyze the characteristics of chronic paranasal sinusitis CT scans and to discuss the relationship between the anatomic variations in ostiomeatal complex（ OMC） and the incidence of chronic pediatric sinusitis and adult sinusitis. Methods 167 cases of diagnosised chronic sinus were selected,age 4-74. The materials of image were divided into the childhood group and the adult group,then were analyzed. Results 1The most commonly involved sinuses were maxillary sinuses,anterior ethmoids and frontal sinuses,both in the childhood group and the adult group.2The results showed no definitive correlation between bony anatomic variations and sinus in children but obvious relatioship between anatomic variations and adult sinus（ P〈0. 05）. Conclusion The influence of anatomic variations on the chronic pediatric sinusitis is more greater than on the adult sinusitis. The abnormal images of the sinus cannot stand alone as diagnostic evidence of pediatric sinusitis,it can serve only as confirmatory measures of sinus disease in patients whose clincal histories are supportive of the diagnosis.

关 键 词：解剖变异 窦口鼻道复合体 鼻窦炎 儿童 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]