多层螺旋CT对鼻中隔偏曲下鼻甲黏膜肥厚的定量研究  

Quantitative analysis of inferior turbinate mucosa with compensatory hypertrophy in patients with deviated nasal septum by MSCT

作　　者：胡瑞利 张晓辰 徐晓燕 李泽飞 丁永清[1] 解琪 张青俊[1] 薛刚[1] Hu Ruili;Zhang Xiaochen;Xu Xiaoyan;Li Zefei;Ding Yongqing;Xie Qi;Zhang Qingjun;Xue Gang(Department of Otolaryngology Head and Neck Surgery,The First Affiliated Hospital of HeBei North University,Zhangjiakou 075000,Hebei Province,China;Department of Medical Imaging,the First Affiliated Hospital of HeBei North University,Zhangjiakou 075000,Hebei Province,China)

机构地区：[1]河北北方学院附属第一医院耳鼻咽喉头颈外科,河北张家口075000 [2]河北北方学院附属第一医院医学影像部,河北张家口075000

出　　处：《中国临床解剖学杂志》2025年第2期164-167,共4页Chinese Journal of Clinical Anatomy

基　　金：河北省卫健委青年科技课题(20220621)。

摘　　要：目的探讨不同病程鼻中隔偏曲下鼻甲黏膜代偿性肥厚的特点。方法回顾我院手术治疗的65例鼻中隔偏曲患者鼻窦CT图像,根据病程将患者分为3组:A组1~5 a,B组6~10 a,C组病程10 a以上,比较各组患者下鼻甲内侧面黏膜厚度、密度的差异。结果3组患者下鼻甲内侧面黏膜厚度分别为(4.2±0.8)mm、(5.2±0.7)mm及(4.7±1.3)mm,B组患者下鼻甲内侧面黏膜较A组及C组厚,有统计学差异(P<0.05)。3组患者下鼻甲内侧面黏膜密度逐渐增高,分别为(38.6±7.1)HU,(49.7±4.5)HU,56.7(41.6,59.3)HU,存在统计学差异(P<0.05)。结论不同病程鼻中隔偏曲患者其下鼻甲黏膜代偿性肥厚存在形态学差异,这可能反映了不同病程患者下鼻甲黏膜肥厚的病理特点。Objective To investigate the features of compensatory hypertrophy of inferior turbinate mucosa in different course of deviated nasal septum.Methods The preoperative sinuses computed tomography(CT)images of 65 patients with deviated nasal septum in our hospital were retrospectively analyzed.Patients were divided into three groups according to the course of disease:group A for 1~5 years,group B for 6~10 years,and group C for more than 10 years.Thickness and density of the lateral mucosa of the inferior turbinate were measured and compared among all groups.Results The thickness of lateral mucosa of the inferior turbinate was(4.2±0.8)mm,(5.2±0.7)mm and(4.7±1.3)mm,respectively in the three groups.Thickness of lateral mucosa of inferior turbinate in group B was thicker than that of group A and group C,and there was statistical difference(P<0.05).The mucosal density of the medial side of the inferior turbinate in patients with course of disease from 1~5 years,6~10 years and more than 10 years gradually increased,and was(38.6±7.1)HU,(49.7±4.5)HU,56.7(41.6,59.3)HU,and with statistical difference respectively(P<0.05).Conclusions There are morphological differences in the compensatory hypertrophy of inferior turbinate mucosa in patients with different course of disease,which may reflect the pathological characteristics of inferior turbinate mucosa hypertrophy.

关 键 词：鼻中隔偏曲 下鼻甲 代偿性黏膜肥厚 多层螺旋CT 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]