基于颞骨高分辨率CT分析维吾尔族患者颈静脉球高度的分布特征  

Distribution of Jugular Bulbs Height on HRCT among Uyghur Patients

作　　者：宋跃帅 奴尔买买提·吾布力哈斯木 侯学阳 李胜胜 马随斌 惠先飞 海日古丽·热黑木 龚树生[1] SONG Yueshuai;NURMAMMAT Wublihasimu;HOU Xueyang;LI Shengsheng;MA Suibin;HUI Xianfei;HAYRIGUL Rehim;GONG Shusheng(Department of Otolaryngology Head-Neck Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100032,China;Department of Otolaryngology,People's Hospital of Hotan(West Campus),Xinjiang,848000,China)

机构地区：[1]首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京100032 [2]和田地区人民医院(西院区)耳鼻咽喉科,和田848000

出　　处：《中华耳科学杂志》2023年第6期774-778,共5页Chinese Journal of Otology

摘　　要：目的回顾分析维吾尔族患者颈静脉球在颞骨高分辨率CT(highesolution computed tomography,HRCT)上纵向空间分布情况及影响因素。方法纳入2019年3月—2020年10月就诊的维吾尔族且具备颞骨HRCT资料的患者。以内听道底壁、耳蜗底周底壁和骨性外耳道底壁为标准将颞骨在纵向空间上分为7个层面,分析颈静脉球在纵向空间上的分布。设定达到和超过耳蜗底转为高位颈静脉球的标准,记录不同层面上颈静脉球相应的患者年龄、性别、侧别、乳突气化程度,分析各参数对高位颈静脉球的影响。结果颈静脉球从上至下7个层面的数量依次为:17耳(2.44%),22耳(3.16%),110耳(15.80%),87耳(12.50%),236耳(33.91%),78耳(11.21%)和146耳(20.98%)。未成年、成人、男性、女性、左侧、右侧、气化型乳突、板障型乳突、硬化型乳突条件下高位颈静脉球占比分别为:46.43%(78耳),29.92%(158耳),28.57%(100耳),39.31%(136耳),26.44%(92耳),41.38%(144耳),33.88%(123耳),33.57%(93耳),35.14%(13耳)。年龄、性别、侧别、乳突类型相比,χ^(2)(P值)分别为:15.49(<0.001),8.947(0.003),17.336(<0.001)和0.037(0.982)。结论维吾尔族患者颈静脉球在纵向空间分布上有规律可循,年龄、性别、侧别对高位颈静脉球的分布有影响,未成年、女性、右侧条件下出现颈静脉球高位的几率较大,乳突气化程度对颈静脉球的分布无影响。Objective To report distribution of jugular bulb(JB)height on HRCT among Uyghur patients and potential influencing factors.Methods HRCT scans from Uyghur patients admitted form June 2019 to October 2020(n=697)were reviewed.Spatial distribution of the JB in the temporal bone was measured across seven levels defined by three anatomic landmarks,i.e.inferior border of the internal auditory canal(IAC),the basal turn of cochlea and bony external auditory canal(EAC).In this study,high jugular bulb(HJB)was defined as at or above the level of the inferior border of the basal turn of cochlea.Age,sex,side,as well as mastoid types,were reviewed for their relationship to the rate of HJB.Results The height distribution of JB among the 697 ears across the seven levels from high to low were as following:17(2.44%),22(3.16%),110(15.80%),87(12.50%),236(33.91%),78(11.21%)and 146(20.98%).The rate of HJB in children,adults,males,females,left side,right side,pneumatic mastoid,diploic mastoid and sclerotic mastoid was:46.43%(78 ears),29.92%(158 ears),28.57%(100 ears),39.31%(136 ears),26.44%(92 ears),41.38%(144 ears),33.88%(123 ears),33.57%(93 ears),and 35.14%(13 ears),respectively.χ^(2)and P values in comparison between children and adults,male and female,left and right side and among mastoid types were 15.49(<0.001),8.947(0.003),17.336(<0.001)and 0.037(0.982),respectively.Conclusions In this group of Uyghur patients,adult age,female gender and right side were associated with increased rates of HJB,while the type of mastoid pneumatization was not.

关 键 词：维吾尔族 颈静脉球 X线计算机断层扫描 特征 

分 类 号：R764[医药卫生—耳鼻咽喉科]