摘要
为了对钩突有更深入的认识，在电镜下观察了１５个钩突粘膜的组织结构和３２例患者的鼻部冠状位ＣＴ图像。结果：①在病理情况下，钩突粘膜的结构紊乱，鼻窦炎症越重，钩突粘膜损伤越严重；②钩突有内移、外移、气化、肥大等解剖变异和病理改变。结论：窦口鼻道复合体解剖变异与慢性鼻窦炎／鼻息肉的形成关系密切；对鼻窦炎患者切除钩突，开放筛漏斗有利于改善鼻窦的通气引流；手术前和手术中认真阅读ＣＴ片有助于设计手术方案，防止并发症。
To provide further understanding of uncinate process,15 uncinate processes were examined under scanning electron microscope,and 32 highresolution coronal CT scans were studied in patients with septal deformity or sinusitis. It was found that(1)pathological ultrastructural changes of uncinate process were noted in patients with chronic sinusitis;(2)medially deviated,laterally deviated,pneumatization and hypertrophy of uncinate processwere demonstrated. The following conclutions were drawn(1)the anatomic variations in ostiomeatal complex is responsible for the formation of chronic sinusitis;(2)for patients with chronic sinusitis,uncinatectomy is the treatment of choice;(3)preoperative and intraoperative studies of CT scans are mandatory for avoidance of complications.
出处
《中华耳鼻咽喉科杂志》
CSCD
1997年第6期363-365,共3页
Chinese Journal of Otorhinolaryngology
关键词
鼻腔
鼻窦炎
鼻息肉
组织学
体层摄影术
Nasal cavity Sinusitis Nasal polyps Histoloy Tomography,Xray computed
