2～3岁幼儿鼻窦CT影像解剖学研究  

Computer-assisted anatomical evaluation of the nasal sinuses in 2-3 years old children

作　　者：廖大红[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》2017年第17期1355-1358,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:测量2~3岁正常幼儿鼻窦发育影像解剖数据,了解2~3岁幼儿的鼻窦解剖特点和发育规律。方法:通过CT影像工作站回顾性研究62例2~3岁幼儿的鼻窦冠状位CT,观察各鼻窦是否气化发育,并测量气化鼻窦左右径和上下径。结果:62例幼儿124侧上颌窦、前后组筛窦均气化发育,左侧上颌窦左右径(17.51±2.92)mm,上下径(16.63±3.46)mm;右侧上颌窦左右径(17.28±2.51)mm,上下径(17.24±3.72)mm。左侧前组筛窦左右径(5.06±1.18)mm,上下径(13.61±2.49)mm;右侧前组筛窦左右径(5.00±1.45)mm,上下径(13.64±2.30)mm。左侧后组筛窦左右径(7.94±1.72)mm,上下径(12.80±1.78)mm;右侧后组筛窦左右径(7.88±1.85)mm,上下径(12.64±1.96)mm。124侧蝶窦中120侧(96.77%)可见气化腔,4侧(3.23%)未见气化腔。120侧左侧蝶窦左右径(7.38±3.11)mm,上下径(8.67±3.14)mm;右侧蝶窦左右径(7.48±2.70)mm,上下径(8.63±2.42)mm。124侧额窦中38侧(30.65%)可见气化腔,86侧(69.35%)未见气化腔。结论:2~3岁幼儿上颌窦、前后组筛窦、蝶窦已气化发育,额窦开始气化发育。2~3岁幼儿可患急性鼻炎、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 2- 3 years old children. Method：Coronal CT scans of 62 cases（2 -3 years old children） were studied with the imaging station. The gasification conditions of the sinuses were identified and measured. Result：The mean of the transverseand vertical diameters for the left side of the maxillary sinuse was （17.51±2.92）mm and （16.63±3.46）mm. Those for the right side were （17.28±2.51）mm and （17.24±3.72）mm. The mean for the left side of the anterior ethmoid sinus were （5.06±1.18）mm and （13.61±2.49）mm. Those for its right side were （5.00±1.45）mm and （13.64±2.30）mm. The mean for the left side of the posterior ethmoid sinus were（7.94±1.72）mm and （12.80± 1.78）mm. Those for the right side were （7.88±1.85）mm and （12.64±1.96）mm. 96.77± （120 sides） of the sphenoid sinuses were developed. The mean for the left side of the sphenoid sinus were （7. 38± 3. 11）mm and （8.67±3.14）mm. Those for the right side were （7. 48±2.70）mm and （ 8.6±2.42）mm. 30.65%（38 sides） of the frontal sinuses were developed. Conclusion：The all nasal sinuses in 2-3 years old children have been already developed. The pneumatization of the frontal sinus was defined in some babies. It can help radiologist make correct diagnosis of paranasal sinuses in children.

关 键 词：儿童 鼻窦 发育 体层摄影术 X线计算机 

分 类 号：R765[医药卫生—耳鼻咽喉科]