鼻冠状位CT研究钩突解剖变异与慢性鼻窦炎的关系  

Nasal Coronary CT Study on the Relationship between Anatomy Variations and Chronic Sinusitis

作　　者：孙玲莉 Sun Lingli(Department of Otorhinolaryngology Head and Neck Surgery,Xiangcheng people's Hospital,Suzhou,Jiangsu,215153,China)

机构地区：[1]苏州市相城人民医院,江苏苏州215153

出　　处：《中国医学文摘（耳鼻咽喉科学）》2020年第1期10-12,16,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的通过鼻冠状位CT对钩突解剖变异与慢性鼻窦炎的关系进行分析研究。方法此次研究,选取我院接受CT检查的130例患者,检查时间为2017年9月至2019年11月期间,检查结果无鼻窦炎患者为对照组,慢性鼻窦炎患者为研究组,对比分析两组患者检查后钩突解剖变异与鼻窦炎的关系。结果研究组患者的钩突高度、钩突角度以及筛漏斗宽度明显高于对照组患者的各项数据(P<0.05);钩突头端附着类型与鼻窦炎关系分析中,研究组患者与对照组患者之间纸样板型、中鼻甲型发生率相对比有明显差异(P<0.05),研究组与对照组患者之间分叉型、筛顶型发生率相对比无明显差异(P>0.05);钩突其他解剖变异与鼻窦炎关系中,研究组与对照组患者之间钩突偏曲、以及肥大两项具有较为明显的差异(P<0.05),且研究组与对照组患者之间钩突气化、以及钩突缺失发生率相对比无明显差异(P>0.05)。结论数据中表明,慢性鼻窦炎患者出现钩突解剖变异几率明显较高,其中较为常见的包括纸样板型、中鼻甲型,钩突解剖变异与慢性鼻窦炎的关系较为紧密,对于慢性鼻窦炎患者治疗有着极为重要的临床意义。Objective To analyze the relationship between anatomical variation of uncinate process and chronic sinusitis by nasal coronary CT.Methods In this study,130 patients who underwent CT examination in our hospital were selected from September 2017 to November 2019.The patients with no sinusitis in the test results were used as the control group,and the patients with chronic sinusitis in the test results were used as the study.Group,comparing and analyzing the relationship between the anatomical variation of uncinate process and sinusitis in the two groups.Results The height of the axillary process,the angle of the axillary process,and the width of the sieve funnel were significantly higher in the study group than in the control group(P<0.05).In the analysis of the relationship between the type of attachment of the head and the sinusitis,the study group patients and There was a significant difference in the relative rates of pattern type and middle turbinate type between the patients in the control group(P<0.05),and there was no significant difference in the rates of bifurcation and ethmoid type between the study group and the control group(P>0.05);In the relationship between other anatomical variations of the uncinate process and sinusitis,there were significant differences between the study group and the control group in terms of deflection of the process and hypertrophy(P<0.05).There was no significant difference in the relative rates of gasification of the intersegmental process and loss of the unstricken process(P>0.05).Conclusions The data indicate that the anatomy variation of patients with chronic sinusitis is significantly more likely to occur.The more common ones include the paper pattern and the middle turbinate type.The anatomy variation of the process is closely related to chronic sinusitis.Patient treatment has extremely important clinical significance.

关 键 词：鼻冠状位CT 钩突解剖变异 慢性鼻窦炎 钩突头端附着类型 钩突偏曲 

分 类 号：R76[医药卫生—耳鼻咽喉科]