钩突上端附着类型与慢性额窦炎不伴鼻息肉的相关性分析  

The correlation between the types of the uncinate process superior attachment and chronic frontal sinusitis without nasal polyps

作　　者：邱小平[1] 张鑫[2] 孙杨[3] 王晋平[1] 杨颖[1] 王冰[1] 李健[2] 

机构地区：[1]陕西省人民医院耳鼻咽喉头颈外科,西安710068 [2]陕西省人民医院医学影像中心 [3]陕西省人民医院数据中心

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第9期667-670,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：陕西省卫生和计划生育委员会科学研究基金资助项目(No:08H03)

摘　　要：目的:分析钩突上端附着类型与慢性额窦炎不伴鼻息肉的相关性。方法:观察240侧额隐窝薄层CT中的钩突上端附着类型,比较其在慢性额窦炎不伴鼻息肉组与正常对照组之间的差异,分析其与慢性额窦炎不伴鼻息肉的相关性。结果:钩突上端附着类型有7种,最常见的为1型(钩突上端附着于眶纸板)。单因素分析显示,1型钩突上端附着方式在慢性额窦炎组的出现率高于对照组(59.8%、36.4%,P<0.01),5型钩突上端附着方式(钩突上端同时附着于眶纸板及前颅底)在慢性额窦炎组的出现率低于对照组(9.8%、28.8%,P<0.01)。多因素Logistic分析表明,1型钩突上端附着方式是慢性额窦炎的危险因素(OR=1.181,P<0.05),5型钩突上端附着方式是慢性额窦炎的保护因素(OR=0.391,P<0.05)。结论:钩突上端附着方式变异较大,最常见的类型是1型;当钩突上端附着于眶纸板时易患慢性额窦炎不伴鼻息肉。Objective：To investigate the correlation between the types of unicate process（UP）superior attachment and the chronic frontal sinusitis without nasal polyps（CFSsNP）.Method：The images of 240 sides of frontal recess were evaluated.The types of UP superior attachment was compared between the CFSsNP group and the control group.The correlation between UP the superior attachment and CFSsNP were analyzed.Result：Seven types of UP superior attachment were identified.The most common type in the two study groups was type 1（insertion into the lamina papyracea）.The occurrence rate of type 1 of UP superior attachment in the CFSsNP group was significantly higher than that in the control group（59.8% and 36.4%,respectively P〈0.01）,but type 5（insertion into both the lamina papyracea and the skull base）was significantly less frequent in the CFSsNP group than in the control group（9.8%,28.8%,P〈0.01）.Logistic regression analysis revealed that the type 1 of UP superior attachment was an independent risk factor for CFSsNP（OR=1.181,P〈0.05）,and that type 5 of UP superior attachment was a protective factor for CFSsNP（OR=0.391,P〈0.05）.Conclusion：UP superior attachment varied significantly,with the most common type being type 1;This type is intimately related to CFSsNP.

关 键 词：额窦 额隐窝 钩突 鼻窦炎 解剖 体层摄影术 X线计算机 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]