摘要
目的探讨球型鼻甲泡与慢性鼻-鼻窦炎的关系。方法选取972例（1944侧）行鼻窦冠状位CT检查的患者，观察慢性鼻-鼻窦炎和球型鼻甲泡的发生率，并分析球型鼻甲泡与慢性鼻-鼻窦炎发生的关系。在CT片上测量球型鼻甲泡的横径数值，评估各球型鼻甲泡的大小。在同-CT片上。观察单侧和双侧有球型鼻甲泡者与慢性鼻-鼻窦炎的发生情况，并测量球型鼻甲泡横径。探讨其大小与慢性鼻-鼻窦炎的关系。结果慢性鼻-鼻窦炎患者278例（440侧），发生率为2263％（440／1944）。有球型鼻甲泡患者142例（189侧），发生率9．72％（189／1944）。单侧球型鼻甲泡者有鼻甲泡侧与无鼻甲泡侧慢性鼻-鼻窦炎发生率的差异有统计学意义（36．84％、20．05％，P〈0．05）。双侧球型鼻甲泡者与无球型鼻甲泡者慢性鼻-鼻窦炎发生率的差异有统计学意义（50．00％、20．36％，P〈0．01）。单侧、双侧球型鼻甲泡不同鼻甲泡大小者慢性鼻-鼻窦炎发生率的差异均无统计学意义（P〉0．05）。结论球型鼻甲泡可能是慢性鼻-鼻窦炎的发病因素之一，但慢性鼻-鼻窦炎的发病与球型鼻甲泡的大小无关。
Objective To analysis the association of bulbous type concha bultosa （CB） with chronic rhinosinusitis. Methods The coronal plane CT scans of paranasal sinus were performed in 972 patients, the transverse diameter of bulbous type concha bullosa was measured and the size of bulbous type CB was evaluated. At the same time, the existence of unilateral or bi- lateral chronic rhinosinusitis was diagnosed and the association of transverse diameter of bulbous type CB with chronic rhinosi- nusitis was analyzed. Results The prevalence of chronic rhinosinusitis and bulbous type CB was 22.63% and 9.72% in CT scan, respectively. In patients with unilateral bulbous type CB the prevalence of chronic rhinosinusitis was 36.84% in CB sides and 21.05% in non-CB sides（P〈0.05）; the prevalence of chronic rhinosinusitis was 50.00% in patients with bilateral bulbous type CB and 20.36% in patients without bulbous type CB （P〈0.01）. There was no significant correlation of transverse diameter of bulbous type CB with the prevalence of chronic rhinosinusitis（P 〉0.05）. Conclusion The bulbous type concha bullosa is a possible etiological factor for chronic rhinosinusitis, but the size of the bulbous type concha bullosa is not correlated with the occurrence of chronic rhinosinusitis.
出处
《浙江医学》
CAS
2012年第17期1450-1452,共3页
Zhejiang Medical Journal
