多排螺旋CT(MSCT)在鼻炎副鼻窦炎及鼻息肉诊断中的应用  

Application of multiple row spiral CT(MSCT)in thediagnosis of rhinitis accessory sinusitis and nasal polyps

作　　者：李凤 李青润 张爱军 Li Feng;Li Qingrun;Zhang Aijun(Dianjiang Traditional Chinese Medicine Hospital of Chongqing,408300 Dianjiang,Chongqing;Lanzhou New Area First People’s Hospital,Lanzhou 733000,Gansu)

机构地区：[1]重庆市垫江县中医院,重庆垫江408300 [2]兰州新区第一人民医院,甘肃兰州733000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2023年第4期56-58,共3页Chinese Medical Digest(Otorhinolaryngology)

基　　金：重庆市垫江县社会民生科技创新专项(项目编号:djkjxm2021shmskjcxywzd019)。

摘　　要：目的 探讨鼻炎副鼻窦炎及鼻息肉诊断中,选用螺旋CT的效果。方法 回顾性分析80例鼻炎、副鼻窦炎以及鼻息肉患者的螺旋CT检查结果。结果 80例患者根据CT表现分为6型,其中20例I型,31例Ⅱ型、11例Ⅲ型、10例Ⅳ型、3例特发型、5例混合型。80例中出现解剖变异:12(15.00%)例中鼻甲异常、3(3.75%)例钩突异常、1(1.25%)例中鼻甲气化、1(1.25%)例Haller气房、37(46.25%)例鼻中隔偏曲、22(27.50%)例筛泡过度气化、1(1.25%)例鼻丘气房、3(3.75%)例上鼻甲气化。结论 多排螺旋CT诊断效果确切,可清晰显示细微结构的解剖变异情况,明确疾病分型,为诊疗提供依据,值得推广。Objective To investigate the effect of selecting spiral CT in the diagnosis of rhinitis accessory sinusitis and nasal polyps.Methods The results of spiral CT examination in 80 patients with rhinitis,accessory sinusitis and nasal polyps were retrospectively analyzed.Results 80 patients were divided into 6 types according to CT performance,including 20 cases of type I,31 cases of typeⅡ,11 cases of typeⅢ,10 cases of typeⅣ,3 cases of idiopathic type and 5 cases of mixed type.Anatomical variation occurred in 80 cases:12(15.00%)middle turbinate abnormalities,3(3.75%)uncinate process abnormalities,1(1.25%)middle turbinate gasification,1(1.25%)Haller gas chamber,37(46.25%)nasal septum deviation,22(27.50%)ethmoid bulla overgasification,1(1.25%)nasal colliculus gas chamber,3(3.75%)superior turbinate gasification.Conclusion The diagnostic effect of multi-row spiral CT is accurate,which can clearly show the anatomical variation of the subtle structure,clarify the disease classification,and provide the basis for the diagnosis and treatment,which is worth popularizing.

关 键 词：鼻炎 副鼻窦炎 鼻息肉 诊断 螺旋CT 解剖变异 

分 类 号：R76[医药卫生—耳鼻咽喉科]