非鼻部疾病儿童头颅CT和MRI检出鼻窦炎阳性率分析  

Analysis of the positive rate of rhinosinusitis in children with nonrhinologic diseases by head CT and MRI

作　　者：黄雪琨[1] 邱惠军 康庄[2] 郑瑞[1] 吴庆武 王心悦 袁田 杨钦泰[1] HUANG Xuekun;QIU Huijun;KANG Zhuang;ZHENG Rui;WU Qingwu;WANG Xinyue;YUAN Tian;YANG Qintai(Department of Otolaryngology Head and Neck Surgery,Guangzhou,Guangdong.510630,China;Department of Radiology,the Third Afliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong.510630,China)

机构地区：[1]中山大学附属第三医院耳鼻咽喉头颈外科,广东广州510630 [2]中山大学附属第三医院影像科,广东广州510630

出　　处：《中国耳鼻咽喉头颈外科》2022年第7期429-432,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：国家自然科学基金面上项目(81870704、82071019);国家自然科学基金联合基金项目——重点支持项目(U20A20399)。

摘　　要：目的探讨非鼻部疾病儿童头颅CT和MRI检出的鼻窦炎阳性率情况。方法回顾性分析3~14岁因非鼻部疾病行头颅MRI或CT检查患儿的鼻窦影像学资料,CT1085例,MRI978例,根据年龄分为3~5岁、6~10岁、11~14岁组。结果头颅CT和MRI检出鼻窦炎阳性率分别为59.08%和69.94%,两者比较有统计学差异(P<0.001);CT、MRI检出鼻窦炎阳性率在男性组为60.88%、71.30%,女性组为54.98%、67.41%,不同性别组比较均无统计学差异(P>0.05);3~5岁、6~10岁、11~14岁组检出鼻窦炎阳性率CT为63.02%、56.79%、50.00%,MRI为73.31%、72.12%、62.39%,组间比较差异均有统计学意义(P<0.05)。结论非鼻部疾病儿童头颅CT和MRI检出鼻窦炎阳性率较高,提示CT和MRI可能过度诊断儿童鼻窦炎,因此不宜采用鼻窦CT或MRI检查为诊断儿童鼻窦炎的重要依据。OBJECTIVE To investigate the positive rate of rhino sinusitis detected by head CT and MRI in children with nonrhinologic diseases.METHODS From2013 to 2018,the imaging data of paranasal sinuses of children with nonrhinologic diseases who underwent head MRI or CT were retrospectively analyzed.The age of children were 3-14 years old,1085 cases of CT and 978 cases of MRI were enrolled.According to the age,three groups were divided as 3-5 years old group,6-10 years old group and 11-14 years old group.RESULTS The positive rate of rhinosinusitis of head CT was 59.08%and MRI was 69.94%.There was significant difference between the positive rate of rhinosinusitis of head CT and MRI(P<0.001).The positive rate of rhino sinusitis detected by CT and MRI was 60.88%and 71.30%in male,54.98%and 67.41%in female,there was no significant difference(P>0.05).Among the 3-5 years old group,6-10 years old group and 11-14 years old group,the positive rates of rhino sinusitis of head CT were 63.02%,56.79%,50.00%,MRI were 73.31%,72.12%,62.39%,there was significant difference comparing with the three groups(P>0.05).CONCLUSION The positive rate of rhinosinusitis detected by head CT and MRI in children with nonrhinologic diseases is very high.This indicates the over diagnosis of rhino sinusitis in children by CT and MRI.It is not suitable to make the diagnosis of rhinosinusitis in children by CT or MRI.

关 键 词：儿童 体层摄影术 X线计算机 磁共振成像 鼻窦炎 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]