鼻丘气房和钩突上端附着方式与额窦炎的CT影像学观察.pdfVIP

医学f临床研究 2008年6月 第25卷 第6担 垦! ! ： ! ! ： · 991 · · 论著· 鼻丘气房和钩突上端附着方式与额窦炎的CT影像学观察 姜菲菲 阎艾慧 王强 姜学钧 (中国医科大学附属第一医院a．耳鼻咽喉科；b．放射科，辽宁 沈阳 I10001) [摘要]【目的】通过观察鼻丘气房和钩突上端附着方式的CT影像学特征，研究其与额窦炎的关系。 【方法】分析564例患者的鼻窦冠状CT，从中分出正常组(A组)，额窦炎伴其他鼻窦炎组(B组)和孤立性额窦 炎组(c组)三组。统计A、B、c三组中鼻丘气房、四种钩突上端附着方式的发生率及其与额窦炎发生的相关 性。再进一步测量鼻丘气房的最大纵向垂径和横径，并分析它们与额窦炎的关系。【结果】鼻丘气房在A组 与B、C两组间的分布差异有显著性(PO．05)，且B、c两组病人的鼻丘气房最大纵向垂径明显大于A组 (PO．05)。A组中钧突上端附着于纸样板型明显少于B、c两组(PO．05)。【结i~-1鼻丘气房与额窦炎的 发生有关，且鼻丘气房纵径越大，越易引起额窦炎。额窦的引流方式决定于钩突上端附着方式，额窦通过钩 突内侧引流至中鼻道比通过筛漏斗引流至中鼻道更易引起额窦炎的发生。 [关键词] 额窦炎／放射摄影术； 体层摄影术，x线计算机 CT Imaging Analysis of the Relationship Between Agger Nasi Cells，Patterns of Superior Attach— ment of the Uncinate Process and Frontal Sinusitis JIANG Fei—fei， YAN Ai-hui， WANG Qiang，et al(Department of Otolaryngology，First Hospital Affiliated to China Medical University， Shenyang 110001，China) [Abstract]【0bj ective】To investigate the CT characteristics of the agger nasi cells and the patterns of SU— perior attachment of the uncinate process(UP)，and to explore the relationship between those and frontal si— nusitis．[MethodslCoronal CT scans of 564 paranasal sinuses were divided into three groups，which those without paranasal sinusitis were enrolled in the normal group(group A)，and those with frontal and other si— nusitis were enrolled in the frontal and other sinusitis group(group B)and those with frontal sinusitis without other sinusitis were enrolled in the isolated frontal sinusitis group(group C)．The prevalence of agger nasi cell and four patterns of superior attachment of the uP in group A，B and C were calculated and analyzed．Subse— quently the vertical and transverse diameters of agger nasi cells of patients were measured．Then the results were analyzed．[ResuhslThe prevalence of agger nasi cells between