中鼻甲泡与鼻中隔偏曲及两者与慢性鼻—鼻窦炎关系
发布时间：2019-05-22 16:55
【摘要】：一、目的： 探讨球型中鼻甲泡的发生与鼻中隔偏曲是否相关,并分析两者与慢性鼻-鼻窦炎的关系。 二、方法： 1.972例(1944侧)患者的鼻窦冠状位CT片,为本研究各种统计数据的来源。 2.统计鼻中隔偏曲和无鼻中隔偏曲、高位偏曲和低位偏曲的球型鼻甲泡发生情况,并测量球型鼻甲泡横径,探讨球型鼻甲泡发生与鼻中隔偏曲的关系。 3.观察慢性鼻-鼻窦炎和球型鼻甲泡,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,得出球型鼻甲泡的横径平均值,评估各球型鼻甲泡的大小。在同一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。 4.观察鼻中隔偏曲,把鼻中隔偏曲分为高位偏曲和低位偏曲,分析鼻中隔偏曲与慢性鼻-鼻窦炎发生的关系。 三、结果： 1.972例共1944侧的慢性鼻-鼻窦炎发生率为22.63%(440侧/1944侧)。球型鼻甲泡患者142例,发生率9.72%(189侧/1944侧),其中单侧球型鼻甲泡95例,双侧球型鼻甲泡47例。鼻中隔偏曲发生率18.72%(182例/972例),其中高位偏曲60例,低位偏曲122例。 2.在本组资料中,182例鼻中隔偏曲组球型鼻甲泡共31例,其中1例为双侧球型鼻甲泡,30例为单侧球型鼻甲泡,占8.79%(32侧/364侧),790例无鼻中隔偏曲组球型鼻甲泡共111例,其中48例为双侧球型鼻甲泡,63例为单侧球型鼻甲泡,占10.06%(159侧/1580侧),两组间球型鼻甲泡发生率无显著性差异(P0.05)。高位偏曲患者60例,存在单侧球型鼻甲泡20例,均位于鼻中隔凹侧,无双侧球型鼻甲泡,占16.67%(20侧/120侧),在低位偏曲患者122例中,出现单侧球型鼻甲泡10例,位于鼻中隔凹侧,双侧球型鼻甲泡1例,占4.92%(20侧/244侧),高位偏曲组与低位偏曲组球型鼻甲泡发生率有显著性差异(P0.05)。鼻中隔偏曲组和无鼻中隔偏曲组球型鼻甲泡横径均值分别为5.58±1.79mm和4.12±1.78mm,两者之间差异具有显著性(P0.01)。高位偏曲组和低位偏曲组球型鼻甲泡横径均值为5.92±1.87mm和4.80±1.35mm,两组间无显著性差异(P0.05)。 3.142例球型鼻甲泡患者中,95例单侧球型鼻甲泡者有鼻甲泡侧发生慢性鼻-鼻窦炎35侧,占36.84%(35侧/95侧),无鼻甲泡侧发生慢性鼻-鼻窦炎20侧,占21.05%(20侧/95侧),两组间慢性鼻-鼻窦炎发生率有显著性差异(P0.05)。47例双侧球型鼻甲泡组慢性鼻-鼻窦炎共47侧,占50.00%(47侧/94侧),830例无球型鼻甲泡组慢性鼻-鼻窦炎共338侧,占20.36%(338侧/1660侧),两组间慢性鼻-鼻窦炎发生率有显著性差异(P0.01)。单侧、双侧球型鼻甲泡不同鼻甲泡大小者慢性鼻-鼻窦炎发生率无显著性差异(P0.05)。 4.182例鼻中隔偏曲组慢性鼻-鼻窦炎有60例,占32.97%(60例/182例),无鼻中隔偏曲患者790例,有慢性鼻-鼻窦炎217例,占27.47%(217例/790例),两组间慢性鼻-鼻窦炎发生率无显著性差异(P0.05)。60例高位偏曲患组,发生慢性鼻-鼻窦炎27例,占45.00%(27例/60例),122例低位偏曲患中,发生慢性鼻-鼻窦炎33例,发生率27.05%(33例/122例),两组间慢性鼻-鼻窦炎发生率有显著性差异(P0.05)。无论高位偏曲还是低位偏曲,鼻中隔凸侧与凹侧慢性鼻-鼻窦炎发生率无显著性差异(P0.05)。 四、结论： 1.鼻中隔高位偏曲与球型鼻甲泡的发生有关,尤其是凹侧易出现球型鼻甲泡。 2.球型鼻甲泡与慢性鼻-鼻窦炎的发生有相关性,但慢性鼻-鼻窦炎的发生与球型鼻甲泡的大小无关。 3.鼻中隔高位偏曲与慢性鼻-鼻窦炎有相关性。
[Abstract]:I. Purpose: To explore the correlation between the occurrence of the nasal turbinate and the deviation of the nasal septum, and to analyze the correlation between the two and the chronic nasal-nasal inflammation. Department II Methods: 1.972 cases (1944) of the patient's nose-and-coronal CT were used to study the various statistics of the study. 2. The origin of the data.2. The occurrence of the nasal septum of the nasal septum and the non-nasal septum of the nasal septum, the high-order partial and the low-order partial flexion, and the diameter of the spherical nasal meatus were measured, and the occurrence and the nose of the spherical nasal turbinate were discussed. 3. The relationship of the deviation of the septum was observed.3. To observe the chronic nasal-nasal inflammation and the spherical turbinate, and to analyze the spherical nasal and chronic nose. The transverse diameter of the spherical turbinate was measured on the CT, and the mean value of the transverse diameter of the spherical turbinate was obtained. The size and size of the spherical nasal turbinates were observed on the same CT slice. The occurrence of the unilateral and bilateral spherical turbinate and the chronic nasal-nasal inflammation was observed, and the diameter of the spherical nasal turbinate was measured, and the size and the slow rate were discussed. 4. The relationship of nasal-nasal-nasal inflammation was observed.4. The nasal septum deviation was observed, and the nasal septum was divided into high-position and low-position, and the deviation of the nasal septum was analyzed. nasal-nose-nose The incidence of chronic nasal-nose-nose inflammation was 22 in the total of 1.972 cases. 63% (440 side/1944).142 patients with spherical turbinate, with a rate of 9.72% (189 sides/1944), with one-sided spherical turbinate The incidence of nasal septum deviation was 18.72% (182/972), and the incidence of nasal septum deviation was 18.72% (182/972). 2. In the data of this group, there were 31 cases of spherical nasal turbinate in 182 cases of nasal septum, of which 1 case was bilateral spherical turbinate and 30 cases of unilateral spherical turbinate, accounting for 8.79% (32 sides/364 sides) and 790 cases. There were 111 cases of spherical turbinate in the non-nasal septum group, of which 48 were bilateral spherical turbinate and 63 were unilateral spherical turbinate, accounting for 10.06% (159 side/1580 side), and the two groups of spherical nasal turbinate. There was no significant difference in the incidence of the bubble (P0.05). It is located on the concave side of the nasal septum,1 case of the bilateral spherical nasal cavity, 4.92% (20 side/244 side), the high-position deviation group and the low-position eccentric group ball type nose nail. There was a significant difference in the incidence of the bubble (P0.05). The mean square diameter of the nasal septum and the non-nasal septum were 5.58, 1.79 mm and 4.12-1.78 mm, respectively. There was a significant difference between the two groups (P 0.01). The mean diameter of the spherical nasal turbinate in the high-order and low-position group was 5.92-1.87 mm and 4.80-1.35mm. There was no significant difference between the two groups (P0.05). There was a significant difference in the incidence of chronic nasal-nasal inflammation between the two groups (P0.05). 20.36% (338 side/1660 side), two groups of chronic nose- There was a significant difference in the incidence of nasal inflammation (P0.01). There was no significant difference in the incidence of nose-nose inflammation (P0.05). There were 27 cases (45.00%) of chronic nasal-nose-nasal inflammation (45.00%) and 122 cases of low-order partial-flexion, and the incidence was 27.05% (33/122). There was a significant difference in the incidence of nasal-nose-nose inflammation (P0.05). nose-nose-nasal inflammation There was no significant difference in the incidence of nasal septum (P0.05). It is related to the occurrence of spherical turbinate, especially in the concave side. There is a correlation, but the occurrence of chronic nasal-nose-nose inflammation is associated with the spherical nasal turbinate.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R765.21
本文编号：2483087
[Abstract]:I. Purpose: To explore the correlation between the occurrence of the nasal turbinate and the deviation of the nasal septum, and to analyze the correlation between the two and the chronic nasal-nasal inflammation. Department II Methods: 1.972 cases (1944) of the patient's nose-and-coronal CT were used to study the various statistics of the study. 2. The origin of the data.2. The occurrence of the nasal septum of the nasal septum and the non-nasal septum of the nasal septum, the high-order partial and the low-order partial flexion, and the diameter of the spherical nasal meatus were measured, and the occurrence and the nose of the spherical nasal turbinate were discussed. 3. The relationship of the deviation of the septum was observed.3. To observe the chronic nasal-nasal inflammation and the spherical turbinate, and to analyze the spherical nasal and chronic nose. The transverse diameter of the spherical turbinate was measured on the CT, and the mean value of the transverse diameter of the spherical turbinate was obtained. The size and size of the spherical nasal turbinates were observed on the same CT slice. The occurrence of the unilateral and bilateral spherical turbinate and the chronic nasal-nasal inflammation was observed, and the diameter of the spherical nasal turbinate was measured, and the size and the slow rate were discussed. 4. The relationship of nasal-nasal-nasal inflammation was observed.4. The nasal septum deviation was observed, and the nasal septum was divided into high-position and low-position, and the deviation of the nasal septum was analyzed. nasal-nose-nose The incidence of chronic nasal-nose-nose inflammation was 22 in the total of 1.972 cases. 63% (440 side/1944).142 patients with spherical turbinate, with a rate of 9.72% (189 sides/1944), with one-sided spherical turbinate The incidence of nasal septum deviation was 18.72% (182/972), and the incidence of nasal septum deviation was 18.72% (182/972). 2. In the data of this group, there were 31 cases of spherical nasal turbinate in 182 cases of nasal septum, of which 1 case was bilateral spherical turbinate and 30 cases of unilateral spherical turbinate, accounting for 8.79% (32 sides/364 sides) and 790 cases. There were 111 cases of spherical turbinate in the non-nasal septum group, of which 48 were bilateral spherical turbinate and 63 were unilateral spherical turbinate, accounting for 10.06% (159 side/1580 side), and the two groups of spherical nasal turbinate. There was no significant difference in the incidence of the bubble (P0.05). It is located on the concave side of the nasal septum,1 case of the bilateral spherical nasal cavity, 4.92% (20 side/244 side), the high-position deviation group and the low-position eccentric group ball type nose nail. There was a significant difference in the incidence of the bubble (P0.05). The mean square diameter of the nasal septum and the non-nasal septum were 5.58, 1.79 mm and 4.12-1.78 mm, respectively. There was a significant difference between the two groups (P 0.01). The mean diameter of the spherical nasal turbinate in the high-order and low-position group was 5.92-1.87 mm and 4.80-1.35mm. There was no significant difference between the two groups (P0.05). There was a significant difference in the incidence of chronic nasal-nasal inflammation between the two groups (P0.05). 20.36% (338 side/1660 side), two groups of chronic nose- There was a significant difference in the incidence of nasal inflammation (P0.01). There was no significant difference in the incidence of nose-nose inflammation (P0.05). There were 27 cases (45.00%) of chronic nasal-nose-nasal inflammation (45.00%) and 122 cases of low-order partial-flexion, and the incidence was 27.05% (33/122). There was a significant difference in the incidence of nasal-nose-nose inflammation (P0.05). nose-nose-nasal inflammation There was no significant difference in the incidence of nasal septum (P0.05). It is related to the occurrence of spherical turbinate, especially in the concave side. There is a correlation, but the occurrence of chronic nasal-nose-nose inflammation is associated with the spherical nasal turbinate.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R765.21
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