多层螺旋CT后处理技术应用于窦口-鼻道复合体变异及鼻窦炎的临床诊断价值  

Clinical Diagnostic Value of Multi-slice Spiral CT Post-processing Technique Applied to Sinus-nasal Complex Mutation and Sinusitis

作　　者：徐丽娜[1] 杨磊[1] 史亚荣[1] 恽佳 金秋燕[1] 潘清云[1] 闵浩[1] XU Lina;YANG Lei;SHI Yarong;YUN Jia;JIN Qiuyan;PAN Qingyun;MIN Hao(Department of Radiology,The Third People’s Hospital of Changzhou,Changzhou 213001,Jiangsu,P.R.China)

机构地区：[1]常州市第三人民医院放射科,江苏常州213001

出　　处：《影像科学与光化学》2020年第6期1052-1055,共4页Imaging Science and Photochemistry

摘　　要：探究多层螺旋CT后处理技术应用于窦口-鼻道复合体变异及鼻窦炎的临床诊断价值。选取慢性鼻窦炎患者112例为研究对象,采用多层螺旋CT平面重组,观察患者窦口-鼻道复合体的解剖变异、鼻窦炎症情况。结果显示,窦口-鼻道复合体解剖变异中泡状鼻甲所占比例最大(30.36%),其次为鼻中隔偏曲(23.21%)和钩突肥厚(13.39%)。112例患者鼻-鼻窦炎症分布中,前组筛窦比例最大(88.39%),其次为上颌窦口(69.64%)和上颌窦(66.07%)。23例行功能性内镜鼻窦手术者,其病变部位术中内镜所见与CT显示一致。说明多层螺旋CT后处理技术应用于鼻窦炎患者窦口-鼻道复合体的结构解剖及变异中具有重要价值。To explore the value of multi-slice spiral CT post-processing technology in the diagnosis of sinus-nasal complex and sinusitis.112 patients with chronic sinusitis were selected as the subjects.The plane reconstruction of multi-slice spiral CT was used to observe the anatomical variation of the sinus-nasal complex and the inflammation of the sinuses.The results showed that the vesicular turbinate accounted for the largest proportion of the anatomical variation of the sinus ostium-nasal canal complex in 112 patients,reaching 30.36%,followed by nasal septum deviation(23.21%)and uncinate hypertrophy(13.39%).Among the 112 patients with nasal-sinus inflammation distribution,the anterior group had the largest proportion of ethmoid sinus,reaching 88.39%,followed by maxillary sinus ostia(69.64%)and maxillary sinus(66.07%).In 23 cases of functional endoscopic sinus surgery,the endoscopic findings of the lesions were consistent with the CT display.It is concluded that the use of multi-slice spiral CT post-processing technology has an important role in the anatomical structure and variation of the sinus-nasal tract complex in patients with sinusitis.

关 键 词：多层螺旋CT 窦口-鼻道复合体变异 鼻窦炎 

分 类 号：R765.4[医药卫生—耳鼻咽喉科] R816.96[医药卫生—临床医学]