摘要
目的 :探讨窦口鼻道复合体发育不良、解剖变异对慢性副鼻窦炎的影响程度。方法 :收集经CT冠状面扫描发现的慢性副鼻窦炎 70例。重点观察钩突、中鼻甲、鼻中隔的发育形态、位置。测量钩突的内偏角及外偏角度 ,测量鼻中隔偏曲的突出度与偏曲角度 ,行统计处理并分析解剖变异与慢性鼻窦炎的关系。结果 :70例慢性副鼻窦炎与窦口 鼻道复合体的发育不良、解剖变异有明显的相关性。钩突、中鼻甲及鼻中隔的解剖结构变异为主要的影响因素。结论 :CT冠状面扫描能清楚地显示窦口 鼻道复合体的解剖变异及慢性副鼻窦炎的部位及程度。多种解剖变异并存时往往同时引起多窦腔炎症 。
Objective:To study the affection of anomaly and dysgenesis of ostiomeatal complex on chronic sinusitis.Methods:Coronal CT films of 70 patients with sinusitis were studied.The shape and position of uncinate process,middle turbinate and nasal septum was emphatically observed,and the angles of deviation of uncinate process,the extents and angles of deviation of nasal septum was measured.These parameters were analyzed in order to search the relation between anomaly and sinusitis.Results:In 70 cases,sinusitis significantly related to the anomaly and dysgenesis of ostiomeatal complex.Among those factors the anomaly of uncinate process,middle turbinate and nasal septum were more important.Conclusions:Coronal CT scan can clearly show the anomaly of ostiomeatal complex and the extent,location of sinusitis.Multiple anomlaies often lead to pansinusitis,of which maxillary and ethmoid sinusitis were most frequently involved.
出处
《放射学实践》
2000年第1期23-25,共3页
Radiologic Practice
