非侵袭性真菌性上颌窦炎患者CT影像学与临床特征的关系  

Relationship Between CT Imaging and Clinical Features in Patients with Noninvasive Fungal Maxillary Sinusitis

作　　者：卫旭瑛 蔡慕彬 白峥嵘 陈艳[1] 郗新娟 WEI Xu-ying;CAI Mu-bin;BAI Zheng-rong(Department of Radiology,the Second Affiliated Hospital of Hainan Medical University,Haikou 570102,Hainan Province,China)

机构地区：[1]海南医学院第二附属医院放射科,海南海口570102 [2]陕西省延安市人民医院放射科,陕西延安716000 [3]陕西省渭南市第一医院影像科,陕西渭南714000

出　　处：《中国CT和MRI杂志》2020年第4期20-22,共3页Chinese Journal of CT and MRI

基　　金：海南省自然科学基金编号:20158324。

摘　　要：目的探讨分析非侵袭性真菌性上颌窦炎患者CT影像学与临床特征的关系。方法选取我院2017年1月-2018年1月收治的55例诊断为非侵袭性真菌性上颌窦炎患者为研究组,另选取同期于我院体检的未患鼻窦炎者50例作为对照组,两组均行CT扫描检查,比较两组鼻腔变异情况、鼻中隔偏曲情况及中鼻甲结构异常情况,观察研究组中合并有鼻息肉、筛窦炎症情况。结果研究组的鼻中隔偏曲、中鼻甲结构异常、钩突肥大、下鼻甲肥大、上颌窦内壁粘膜增厚及骨质改变人数比例显著高于对照组(P<0.05);研究组的高位偏曲检出率(93.75%)显著高于对照组(66.67%)(P<0.05);两组中鼻甲结构异常情况比较具有显著差异(P<0.05),研究组的中鼻甲肥大及泡状中鼻甲人数比例显著高于对照组(P<0.05)。结论非侵袭性真菌性上颌窦炎具有特异性的CT影像学表现,其对该病的临床特征具有典型的辨别作用,具有明确的诊断价值。Objective To explore the relationship between CT imaging and clinical features in patients with non-invasive fungal maxillary sinusitis. Methods A total of 55 patients with non-invasive fungal maxillary sinusitis who were admitted to our hospital from January 2017 to January 2018 were selected as study group. 50 patients who had no masosinusitis and had physical examination in our hospital during the same period were selected as control group. CT scan was performed in the two groups. The nasal cavity variation, nasal septum deviation and middle turbinate structure abnormality were compared between the two groups. The nasal polyps and ethmoid sinus inflammation were observed in study group. Results The proportions of patients with nasal septum deviation, middle turbinate abnormality, uncinate hypertrophy, inferior turbinate hypertrophy, maxillary sinus mucosal thickening and bone mass change in study group were significantly higher than those in control group(P<0.05). The detection rate of high variation in study group was significantly higher than that in control group(93.75% vs 66.67%)(P<0.05). There was a significant differences in turbinate structure abnormality between the two groups(P<0.05). The proportions of patients with middle turbinate hypertrophy and vesicular middle turbinate in study group were significantly higher than those in control group(P<0.05). Conclusion Non-invasive fungal maxillary sinusitis has specific CT imaging findings, and has a typical discriminating effect on the clinical features of the disease, and has a clear diagnostic value.

关 键 词：非侵袭性真菌性上颌窦炎 电子计算机断层扫描 临床特征 

分 类 号：R519[医药卫生—内科学] R445.3[医药卫生—临床医学]