鼻中隔偏曲的鼻阻力相关因素探讨

发布时间：2018-02-14 06:37

本文关键词： 鼻中隔偏曲下鼻甲肥大鼻阻力下鼻甲前端横截面积　出处：《福建医科大学》2011年硕士论文　论文类型：学位论文

【摘要】：目的:探讨一种能结合形态和功能对鼻中隔偏曲进行客观评估的方法,为临床上选择恰当的治疗方式提供参考依据。方法:对符合条件的20例鼻中隔偏曲患者进行如下测量:1.利用多层螺旋CT摄片,在CT工作台上直接测量研究对象的S总及S骨,并通过S软=S总-S骨计算得出S软(以S总表示下鼻甲前端横截面积、S骨表示下鼻甲前端鼻骨的横截面积、S软表示下鼻甲前端软组织的面积)。2.利用鼻阻力测量分析仪测量研究对象使用呋麻滴鼻液前后的鼻阻力。将横截面积进行同侧与对侧比较、用药前后鼻阻力差值进行同侧与对侧的比较。结果:CT片上所测量横截面积(cm2):同侧S总:1.08±0.34;对侧S总:1.35±0.55P;同侧S骨:0.33±0.10;对侧S骨:0.41±0.29;同侧S软:0.64±0.31;对侧S软:1.18±0.46 ;用呋麻滴鼻液前的鼻阻力(Pa/cm3/s):同侧0.49±0.25;对侧:0.43±0.25;用呋麻滴鼻液后的鼻阻力(Pa/cm3/s):同侧0.28±0.11;对侧:0.30±0.18。将同侧S总与对侧S总进行比较,发现同侧下鼻甲前端横截面积小于对侧,且其差异有统计学意义(P均0.05);将同侧S骨与对侧S骨进行比较,发现对侧下鼻甲前端骨质横截面积大于同侧,但其差异无统计学意义(P0.05);将同侧S软与对侧S软进行比较,发现对侧下鼻甲前端软组织的横截面积大于同侧,且其差异具有统计学意义(P0.05);将使用呋麻滴鼻液前测量的鼻阻力进行同侧鼻阻力与对侧鼻阻力的比较,发现同侧鼻阻力略大于对侧,但这种差异无统计学意义(P0.05);将使用呋麻滴鼻液前后测量的鼻阻力差值进行同侧鼻阻力与对侧鼻阻力的比较,发现对侧鼻阻力的变化较同侧大,且其差异具有统计学意义(P0.05)。结论: 1.鼻中隔偏曲患者的对侧下鼻甲粘膜较同侧肥大; 2.鼻中隔偏曲患者用药前后对侧鼻阻力变化大; 3.CT结合鼻阻力可作为临床上对鼻中隔偏曲患者进行术前评估的一种客1观、有效的方法。
[Abstract]:Objective: to explore an objective evaluation method of nasal septum deviation combined with morphology and function, and to provide reference for clinical treatment. Methods: twenty patients with nasal septum deviation were measured as follows: 1. The total S and S bone of the subjects were measured directly on the CT workbench using multislice spiral CT. And through S soft S total S bone calculation, S soft (S total denotes cross sectional area of anterior inferior turbinate and S bone denotes cross sectional area of anterior nasal bone of inferior turbinate; S soft represents area of soft tissue of anterior inferior turbinate. The nasal resistance of subjects before and after using furosemide nasal drops was measured by analyzer. The cross-sectional area was compared in the same side and opposite side. Nasal resistance difference before and after treatment was compared between ipsilateral and contralateral. Results the cross sectional area measured on the CT scan was as follows: ipsilateral S: 1.08 卤0.34; contralateral S: 1.35 卤0.55P; ipsilateral S bone: 0.33 卤0.10; contralateral S bone: 0.41 卤0.29; ipsilateral S soft: 0.64 卤0.31; contralateral S: 1.18 卤0.46; The nasal resistance before furosemide: ipsilateral 0.49 卤0.25; contralateral 0.43 卤0.25; nasal resistance: ipsilateral 0.28 卤0.11; contralateral 0.30 卤0.18. compare the total ipsilateral S with the contralateral S, and find that the cross sectional area of the ipsilateral inferior turbinate is less than that of the contralateral. The cross-sectional area of ipsilateral S bone and contralateral S bone was found to be larger than that of ipsilateral inferior turbinate, but the difference was not statistically significant (P 0.05), the ipsilateral S soft and contralateral S soft were compared. It was found that the cross sectional area of the anterior soft tissue of the contralateral inferior turbinate was larger than that of the ipsilateral, and the difference was statistically significant (P 0.05), and the nasal resistance measured before the use of furosemide nasal drops was compared between the ipsilateral nasal resistance and the contralateral nasal resistance. It was found that the ipsilateral nasal resistance was slightly greater than that of the contralateral side, but the difference was not statistically significant (P 0.05). The difference between the ipsilateral nasal resistance and the contralateral nasal resistance was compared before and after the use of furoma nasal drops, and the change of the contralateral nasal resistance was greater than that of the ipsilateral nasal resistance. The difference was statistically significant (P 0.05). Conclusion:. 1. The contralateral inferior turbinate mucosa in the patients with nasal septum deviation was higher than that in the ipsilateral side. 2.The contralateral nasal resistance of patients with nasal septum deviation changed greatly before and after treatment. 3. Ct combined with nasal resistance can be used as an effective method for preoperative evaluation of nasal septum deviation.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R765.9

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