筛泡形态学及前组筛窦开口周围骨质改变与慢性筛窦炎病情严重程度的相关性  

Correlation of ethmoid bulla morphology and bone changes around anterior ethmoid sinus ostium with severity of chronic ethmoid sinusitis

作　　者：龙雨 朱正茹 雷齐鸣 张小兵[2] LONG Yu;ZHU Zhengru;LEI Qiming;ZHANG Xiaobing(the First Clinical Medical College,Lanzhou University,Gansu Province,730000;Department of Otorhinolaryngology,Head and Neck Surgery,First Hospital,Lanzhou University,Gansu Province,730000,China)

机构地区：[1]兰州大学:第一临床医学院,兰州730000 [2]兰州大学:第一医院耳鼻喉头颈外科,兰州730000

出　　处：《第三军医大学学报》2021年第8期741-746,共6页Journal of Third Military Medical University

摘　　要：目的探讨筛泡形态学相关参数及前组筛窦开口周围骨质改变的CT评估与慢性筛窦炎病情严重程度的相关性。方法回顾性分析2017年1月至2020年8月就诊于我院行鼻部高分辨率CT的32例正常对照及48例慢性筛窦炎组患者资料,利用鼻部CT中前组筛窦软组织厚度将研究对象分为0分、1分、2分及3分组,应用鼻部高分辨率CT数据进行筛窦及筛泡三维重建,比较两组筛泡形态学相关参数及前组筛窦开口周围骨质CT值,分析筛泡形态学相关参数及前组筛窦开口周围骨质改变与慢性筛窦炎病情严重程度的关系。结果(1)筛泡形态学相关参数:筛泡体积、表面积、上下径、左右径、前后径慢性筛窦炎组均明显大于正常对照组,差异有统计学意义(P<0.01),且慢性筛窦炎2分组及3分组的筛泡相关参数均高于1分组(P<0.05),筛漏斗直径、前组筛窦流出道截面积慢性筛窦炎组均明显大于正常对照组,差异有统计学意义(P<0.01),个体中筛泡体积与前组筛窦流出道截面积呈负相关(r=-0.325,P<0.05)。(2)前组筛窦开口周围骨质CT值在慢性筛窦炎组均明显大于正常对照组,差异有统计学意义(P<0.01),且慢性筛窦炎2分组及3分组的骨质CT值均高于1分组(P<0.05)。结论筛泡的形态学相关参数及前组筛窦开口周围骨质CT值增加可导致筛漏斗狭窄,影响前组筛窦的通畅引流,且与慢性筛窦炎的病情严重程度呈现正性相关。Objective To investigate the correlation of the morphological parameters of ethmoid bulla and bone changes around anterior ethmoid sinus ostium by CT scanning with the severity of chronic ethmoid sinusitis.Methods Clinical data of 48 patients with chronic ethmoid sinusitis undergoing high resolution CT of the nose in our hospital from January 2017 to August 2020 were collected and retrospectively analyzed.The CT data of 32 normal individuals were also collected as control.According to the soft tissue thickness of ethmoid sinus(0,1,2~3,≥4 mm),the subjects were divided into subgroups 0,1,2 and 3.The CT data of normal control group and chronic ethmoid sinusitis group were used for three-dimensional reconstruction of ethmoid sinus and ethmoid bulla.The morphological parameters of ethmoid bulla and the CT value of bone around ethmoid sinus were compared between the 2 groups to analyze the correlation of the parameters with severity of sinusitis.Results(1)Ethmoidal morphological parameters:ethmoidal volume,surface area,anteroposterior diameter,mediolateral dimension and vertical diameter were significantly greater in the chronic ethmoid sinusitis group than the normal control group(P<0.01),and the bubble related parameters were obviously higher in subgroups 2 and 3 than the subgroup 1 in chronic ethmoid sinusitis patients(P<0.05).Ethmoidal infundibulum diameter and anterior ethmoidal outflow tract cross-sectional area were notably larger in the chronic ethmoid sinusitis group than the normal control group(P<0.01).The volume of ethmoid bulla in individuals was negatively correlated with the anterior ethmoidal outflow tract cross-sectional area(r=-0.325,P<0.05).(2)The CT value of the bone around the ethmoid sinus opening was significantly higher in the chronic ethmoid sinusitis group than the normal control group(P<0.01).The CT value of the bone around the ethmoid sinus opening was significantly higher in subgroups 2 and 3 than the subgroup 1 in chronic ethmoid sinusitis patients(P<0.05).Conclusion Morphological parame

关 键 词：慢性筛窦炎 筛泡 三维重建 筛漏斗 前组筛窦骨质改变 

分 类 号：R322.31[医药卫生—人体解剖和组织胚胎学] R765.41[医药卫生—基础医学]