窦口鼻道复合体变异与鼻中隔偏曲及鼻旁窦炎相关性的CT影像研究  

Correlation study between ostiomeatal complex variation, deviation of nasal septum and nasosinusitis with CT imaging

作　　者：杨晓霞[1] 唐光健[2] 南喜文[1] 彭泰松[1] 于萍 武金龙[1] 贾夏青 赵丽丽 杨生伟[1] Yang Xiaoxia, Tang Guangjian, Nan Xiwen, Peng Taisong, Yu Ping, Wu Jinlong, Jia Xiaqing, Zhao Lili, Yang Shengwei(Department of Radiology, the Third People＇s Hospital of Datong , Datong 037008, Chin)

机构地区：[1]山西省大同市第三人民医院放射科,037008 [2]北京大学第一医院放射科

出　　处：《中华放射学杂志》2018年第4期252-256,共5页Chinese Journal of Radiology

摘　　要：目的探讨窦口鼻道复合体（OMC）变异与鼻中隔偏曲、鼻旁窦炎的相关性。方法回顾性分析2015年6月1日至2016年5月30日行鼻与鼻旁窦CT检查的256例患者的临床与影像资料，鼻旁窦骨折、肿瘤及图像有伪影者不纳入研究，于半月裂水平行冠状面多平面重建进行观察。将患者先按有无鼻中隔偏曲分为两组，采用两独立样本χ2检验分析两组间OMC变异的发生率、单双侧变异的发生率及鼻旁窦炎发生率、单双侧鼻旁窦炎发生率的差异，再按有无OMC变异分为两组，比较两组间鼻旁窦炎发生率、单双侧鼻旁窦炎发生率的差异。结果鼻中隔偏曲组96例，鼻中隔无偏曲组160例，两组间OMC变异率的差异有统计学意义（χ2=38.40，P〈0.05），且两组间单、双侧OMC变异率的差异有统计学意义（χ2=13.70，P〈0.05），单侧OMC变异位于偏曲同侧者92.6%（50/54）；两组间鼻旁窦炎发生率的差异无统计学意义（χ2=0.50，P〉0.05），且两组间单、双侧鼻旁窦炎发生率的差异亦无统计学意义（χ2=2.25，P〉0.05）。256例中，OMC变异者128例，无OMC变异者128例，两组间鼻旁窦炎发生率的差异无统计学意义（χ2=0.56，P〉0.05），且两组间单、双侧鼻旁窦炎发生率的差异亦无统计学意义（χ2=3.57，P〉0.05）。结论鼻中隔偏曲鼻腔增宽侧OMC变异可能是对鼻腔增宽的一种代偿，而不是鼻旁窦炎发生的阻塞因素。Objective To explore the correlation between ostiomeatal complex （OMC） variation, nasal septum deviation and nasosinusitis with CT imaging.MethodsThe clinical and imaging data of 256 patients undergoing nasal and paranasal CT examination from June 1, 2015 to May 30, 2016 were retrospectively analyzed. Patients with paranasal sinus fractures, tumors and artifacts were not included in this study. Taking the image of standard coronal MPR built with thin axial sections at the level of middle of semilunar fissure as observing image, and the direction, location and extent of OMC variations were observed and recorded. The patients were divided into two groups according to the presence or absence of nasal septum deviation. OMC mutation, the incidence of unilateral mutation, incidence of paranasal sinusitis and the incidence of unilateral bilateral nasal sinusitis between the two groups was analyzed by χ2 test with two independent samples. Then according to the presence or absence of OMC mutation, the patients were divided into two groups. The incidence of paranasal sinusitis and bilateral paranasal sinusitis were compared between the two groups.ResultsTwo hundred and fifty six cases of CT imging of parannasal sinus were included in the study, 96 cases were with nasal septum deviation, 160 were with non-deviation of nasal septum. The incidence rate of OMC variation between the two groups showed significant difference （χ2=38.40, P〈0.05） . The incidence rate of unilateral and bilateral OMC variation showed significant difference （χ2=13.70, P〈0.05） , among which 54 were unilateral variations, 50 （92.6%） variations were located at the same side of nasal deviation （side of the nasal cavity widened） . The incidence rate of sinusitis between the two groups showed non-significant difference （χ2=0.50, P〉0.05） . The incidence rate between unilateral and bilateral nasosinusitis showed non-significant difference （χ2=2.25, P〉0.05） . Of the 256 cases, 128 were with OMC variations, and 128 were w

关 键 词：窦口鼻道复合体 鼻中隔偏曲 鼻旁窦炎 

分 类 号：R765[医药卫生—耳鼻咽喉科] R816.96[医药卫生—临床医学]