摘要
选取120例鼻窦冠状位CT为研究材料,对鼻中隔偏曲对侧下鼻甲骨角度变化进行观察分析,期望能为下鼻甲骨折外移术提供理论依据。该实验分3组,其中鼻中隔偏曲组42例、鼻中隔无偏曲组49例、手术组29例。选下鼻甲中前部的3个CT层面,在CT片上直接勾画双侧下鼻甲骨角度及面积,计算机自动生成测量数值,再取平均值进行统计学分析。结果显示,鼻中隔偏曲对侧下鼻甲存在肥大的同时还存在下鼻甲骨角度变大,偏曲对侧下鼻甲肥大和角度变大共同影响鼻腔通气功能。鼻中隔偏曲伴对侧下鼻甲肥大患者用下鼻甲压榨骨折外移术能达到下鼻甲减容及缩小下鼻甲骨角度目的,从而改善鼻腔通气功能。
120 coronal plane CT scans of the paranasal sinuses were divided into 3 groups: 42 cases with deviated nasal septum, 49 cases without deviated nasal septum were 29 cases that underwent a septoplasty and outfracture to both inferior turbinates by the same surgeon. Single out three slices which the anterior and middle portion of the inferior turbinates can optimally display, in which to draw the angle and cross-sectional area by hand and the data calculated by Start PACS SYSTEM will appear in computer screen automatically.The results confirmed that septal deviation can lead to an increase in volume of both mucosa and bone of the inferior turbinate, and can also cause the change in the angle between the inferior turbinate bone and the lateral wall of the nasal, which cause nasal obstruction. Patients who are tolerated by nasal septum with hyperplastic inferior turbinate complicated can be treated by outfracture of the inferior turbinate procedures, which can display a reduction in the angle and tankage and finally improve the mycteric venting.
作者
叶旻斐
YE Minfei(School of Tourism,Wuyi University,Wuyishan,Fujian 354300)
出处
《武夷学院学报》
2019年第9期72-79,共8页
Journal of Wuyi University
关键词
下鼻甲骨角度
下鼻甲压榨骨折外移术
CT
the angle of inferior turbinate bone
outfracture of the Inferior Turbinate
CT
