慢性鼻鼻窦炎、鼻息肉及鼻部解剖变异 鼻窦冠状位CT探究.doc

慢性鼻鼻窦炎、鼻息肉及鼻部解剖变异 鼻窦冠状位CT探究 　【摘要】 探讨慢性鼻鼻窦炎及鼻息肉与鼻部解剖变异的关系。方法：分析411例鼻窦冠状位CT资料，分为正常组（A）、慢性鼻鼻窦炎组(B)、鼻息肉组(C)3组。统计中鼻甲、钩突变异及Haller′s气房、鼻中隔偏曲等在3组的发生率，并应用统计软件SPSS 12.0分析其与慢性鼻鼻窦炎及鼻息肉的关系。结果：中鼻甲气化、反向弯曲及直形中鼻甲在A组的发生率分别为23.39%、8.06%、3.23%； 在B组为38.52%、18.58%、12.84%；C组为37.45%、21.70%、17.02%。A组中鼻甲各解剖变异与B、C两组差异有统计学意义（P＜0.01）。钩突气化、上端分叉及反向弯曲在A组中的发生率为4.03%、4.83%、0.00%；B组中为7.10%、2.73%、2.18%；C组为8.51%、3.83%、7.23%。钩突反向弯曲在A组与C组间、B组与C组间分布差异有统计学意义（P＜0.01）。结论：中鼻甲各解剖变异与慢性鼻鼻窦炎、鼻息肉的发生有关；钩突反向弯曲较易引发鼻息肉；钩突气化、钩突上端分叉、鼻中隔偏曲及Haller′s气房与慢性鼻鼻窦炎、鼻息肉的发生无相关性。 【关键词】 鼻窦炎 鼻息肉 解剖 ［ABSTRACT］ Objective: To explore the relationship between anatomic variations of the nasal cavity and chronic rhinosinusitis with or without polyps. Methods： Four hundred and eleven coronal plane CT scans of the paranasal sinuses were divided into three groups: the control group(A), the chronic rhinosinusitis group(B), and the deviation of middle turbinate group(C). The prevalence of anatomic variations in groups A, B and C was determined and analyzed by SPSS V.12.0 for windows. Results： The prevalence of concha bullosa, paradoxical middle turbinate and straight middle tubinate in group A was 23.39%, 8.06% and 3.23%, respectively, in group B was 38.52%, 18.58% and 12.84%, respectively and in group C was 37.45%, 21.70% and 17.02%, respectively. The prevalence of anatomic variations in the MT between groups A and B or C was statistically significant（P＜0.01）. The prevalence of pneumatization of the UP, superior divarication of the UP and paradoxical curvature of the UP in group A was 4.03%, 4.83% and 0.00%, respectively, in group B was 7.10%, 2.73% and 2.18%, respectively and in group C was 8.51%, 3.83% and 7.23%, respectively. Differences of paradoxical curvature of the UP were statistically significant between groups A and C（P＜0.01）and also statistically significant between groups B and C（P＜0.01）. Conclusions： Anatomic variations of the MT may be one of the reasons for chronic rhinosinusitis with or without polyps. The paradoxical curvatu