多層螺旋CT检查在窦口鼻道复合体变异与鼻窦炎性疾病相关性研究中的价值.docVIP

多层螺旋CT检查在窦口鼻道复合体变异与鼻窦炎性疾病相关性研究中的价值 虞雪梅 江苏省江都市中医院 影像科（江苏 扬州） 225200 [摘要] 目的：探讨多层螺旋CT检查在窦口鼻道复合体（OMC）变异与鼻窦炎性疾病相关性研究中的价值。方法：对65例经鼻内镜及多层螺旋CT检查验证副鼻窦炎患者的影像图像进行回顾性分析。结果：65例OMC变异患者经鼻窦冠状位或横断位扫描及高空间分辨率算法成像分析，OMC变异所致的各种鼻窦炎均能清晰显示。其中，鼻中隔偏曲46例，占70.77%；中鼻甲气化4例，占6.15%；中鼻甲反向弯曲5例，占7.69%；Hall气房6例，占9.23%；钩突偏曲、气化或肥大4例，占6.15%。各种变异所致的间隙狭窄61例，占93.85%。各组鼻窦炎性表现分布：额窦粘膜增厚7例，积液2例，上颌窦积液和（或）粘膜增厚55例；筛窦积液33例，积液31例；其中，36例患者为多个窦腔受侵，占55.38%。结论：各种形式的OMC变异均能导致程度不同的副鼻窦炎性改变，多层螺旋CT检查能清晰显示各种变异的形态和特征，为功能性鼻内镜手术治疗具有积极的指导价值。 [关键词] 多层螺旋CT；副鼻窦炎；窦口鼻道复合体；变异 The value of multislice CT in the OMC Variation sinusitis disease Yu Xuemei Jiangdu Traditional Chinese Medicine Hospital Image section (Yangzhou, Jiangsu [Abstract] Objective: To investigate the value of multislice CT in ostiomeatal complex (OMC) variation and the sinusitis disease-related research. Methods: A retrospective analysis of 65 cases of sinusitis patients after endoscopic and multislice CT verification image image. Results: 65 cases of the OMC variability in patients with sinus coronal or axial scan and high spatial resolution algorithm for image analysis, OMC variation caused by sinusitis can clear display , Nasal septum deviation, 46 cases, accounting for 70.77%; 4 cases of middle turbinate gasification, accounting for 6.15%; the middle turbinate reverse bend 5 cases, accounting for 7.69%; the Hall gas room six cases, accounting for 9.23%; the uncinate process septum, gasification or the mast four cases, accounting for 6.15%. All kinds of variations due to space narrowing 61 cases, accounting for 93.85%. . Group of sinusitis performance distribution: the frontal sinus mucosal thickening, effusion in 2 cases, maxillary sinus effusion and mucosal thickening (or) 55 cases; ethmoid effusion in 33 cases, effusion in 31 cases; Among them, 36 patients with multiple sinus involvement, accounting for 55.38%. Conclusion: The various forms of OMC variation can lead to different degrees of sinusitis changes, multislice CT can clearly show the shape