摘要
目的研究窦口鼻道复合体解剖变异,探讨其与前组鼻窦炎的关系。方法分析754例患者的鼻窦冠状CT,从中分出正常组227例,前组鼻窦炎组527例。统计这两组中Haller气房、中鼻甲气化、反常曲线中鼻甲、直形中鼻甲、钩突气化、钩突反向弯曲、钩突上端分叉七种解剖变异的发生率,并分析其与前组鼻窦炎的相关性。结果Haller气房、直形中鼻甲、钩突反向弯曲、钩突上端分叉在正常组与前组鼻窦炎组间发生率有显著性差异(P<0.05);中鼻甲气化、反常曲线中鼻甲、钩突气化在这两组中的发生率差异无显著性(P>0.05),但中鼻甲气化中的泡性中鼻甲在两组中的发生率有显著性差异(P<0.05)。结论Haller气房、直形中鼻甲、钩突反向弯曲、钩突上端分叉、中鼻甲气化中的气泡中鼻甲与前组鼻窦炎的发病有关。
Objective To explore the relationship of the anatomic variations of ostiomeatal complex with anterior sinusitis. Methods 754 coronal CT scans of the paranasal sinuses were divided into normal group and anterior sinusitis group with ethmoid or maxillary sinusitis. The prevalences of different anatomic variations in normal group and anterior sinusitis group such as Haller＇s cell, pneumatization of the middle turbinate （MT）, paradoxical middle turbinate, straight middle turbinate, pneumatization of the uncinate process （UP）, paradoxical curvature of the UP and superior divar/cation of the UP were calculated. Results The prevalences of Haller＇s cell, straight middle turbinate, paradoxical curvature of the UP and superior divarication of the UP between normal group and anterior sinusitis group were different significantly（P〈0.05）, but with not obvious difference for the prevalences of pneumatization of the MT, paradoxical middle turbinate and pneumatization of the UP betwwen groups（P〉0.05）. The prevalence of true concha bullosa was higher in anterior sinusitis group than in normal group （P〈0.05）. Conclusions The Haller＇s cell, straight middle turbinate, paradoxical curvature, superior divarication of the UP and true concha bullosa may be related to the anterior sinusitis.
出处
《解剖科学进展》
CAS
2008年第2期155-157,160,共4页
Progress of Anatomical Sciences
