鼻中隔偏曲与慢性鼻-鼻窦炎及下鼻甲肥大相关性的MSCT分析  

Analysis on multi-slice spiral CT of nasal septum deviation with inferior turbinate hypertrophy and chronic rhinosinusitis

作　　者：杜奕[1] 何静 陈彤[1] DU Yi;HE Jing;CHEN Tong(Department of Radiology,the First People’s Hospital of Yinchuan,Yinchuan 750001,China)

机构地区：[1]宁夏银川市第一人民医院放射科,宁夏银川750001

出　　处：《宁夏医学杂志》2022年第7期597-599,I0001,共4页Ningxia Medical Journal

基　　金：宁夏回族自治区科技惠民项目(2020CMG03011)。

摘　　要：目的 应用鼻窦MSCT观察鼻中隔偏曲(NSD),分析鼻中隔偏曲与慢性鼻-鼻窦炎(CRS)及下鼻甲肥大的相关性。方法 回顾性分析200例确诊的鼻中隔偏曲患者,根据有无慢性鼻-鼻窦炎分为CRS组(150例)和非CRS组(50例),结合其鼻窦CT影像学表现,分析鼻中隔偏曲角度与慢性鼻-鼻窦炎的相关性。测量鼻中隔偏曲患者下鼻甲内侧黏膜、外侧黏膜及下鼻甲骨厚度,分析鼻中隔偏曲角度与下鼻甲肥大的相关性。结果 CRS组鼻中隔高位偏曲、重度鼻中隔偏曲占比均高于非CRS组,差异有统计学意义(P <0. 05)。CRS组上颌窦、前组筛窦、后组筛窦、蝶窦及额窦,窄侧鼻腔与宽侧鼻腔Lund-Mackay CT评分相比较,差异有统计学意义(P <0. 05)。CRS组与非CRS组鼻中隔偏曲角度与下鼻甲内侧黏膜、外侧黏膜及下鼻甲骨厚度差异有统计学意义(P <0. 05),鼻中隔偏曲角度与CRS组下鼻甲内侧黏膜厚度的相关性差异具有统计学意义(P <0. 05)。结论 鼻中隔高位偏曲和重度偏曲与CRS呈正相关,宽窄侧鼻-鼻窦炎严重程度不同;鼻中隔偏曲角度与宽侧鼻腔下鼻甲内侧黏膜厚度呈正相关。Objective To observe nasal septum deviation(NSD)by using nasal sinus multi-slice spiral CT(MSCT),and to analyze the correlations of NSD with chronic rhinosinusitis(CRS)and nasal septal deviation and inferior turbinate hypertrophy.Methods 200 patients with confirmed NSD were analyzed retrospectively and the patients were divided into the CRS group(n=150)and the non-CRS group(n=50)according to the presence or absence of sinusitis.Combined with the CT findings of the nasal sinus,the correlation between NSD angle and CRS was analyzed.The thickness of the inferior turbinate medial and lateral mucosa and inferior turbinate bone in patients with NSD was measured,and the correlation between NSD angle and inferior turbinate hypertrophy was analyzed.Results The proportions of high deviations and severe deviations in the CRS group were higher than those in the non-CRS group(P<0.05).The Lund-Mackay CT scores of the maxillary sinus,anterior ethmoid sinus,posterior ethmoid sinus,sphenoid sinus,frontal sinus,narrow nasal cavity and wide nasal cavity in the CRS group were statistically different(P<0.05).The NSD angle and the thickness of inferior turbinate medial and lateral mucosa and inferior turbinate bone showed statistical differences between the CRS group and the non-CRS group(P<0.05).The correlation between NSD angle and the thickness of the medial mucosa of the inferior turbinate in the CRS group was statistically significant(P<0.05).Conclusion High deviation and severe deviation of the nasal septum are positively correlated with CRS,and the severity of rhinosinusitis on the wide and narrow sides is different.NSD angle is positively correlated with the thickness of the medial mucosa of the inferior turbinate of the wide nasal cavity.

关 键 词：鼻中隔偏曲 下鼻甲肥大 慢性鼻-鼻窦炎 多层螺旋CT 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]