额隐窝气房与慢性额窦炎的相关性分析

发布时间：2018-02-21 09:29

  本文关键词： 额窦炎 额隐窝气房 解剖学 体层摄影术 X线计算机　出处：《临床耳鼻咽喉头颈外科杂志》2015年20期 　论文类型：期刊论文

【摘要】：目的:分析额隐窝气房与慢性额窦炎的相关性。方法:收集69例(慢性额窦炎组37例,对照组32例)符合病例选择标准的鼻窦CT影像,在图像工作站上进行轴位、冠状位、矢状位重建获得额隐窝区域影像(层厚0.6mm,层距0.4mm)。根据Lee等的额隐窝气房CT分类判定标准,应用图像分析软件,观察慢性额窦炎组与对照组额隐窝气房的分布类型,比较两组的差异,应用Logistic回归分析额隐窝气房与慢性额窦炎的相关性。结果:获得128侧额隐窝区域三维影像,每组各64侧,其中Ⅲ型额气房、眶上筛房在慢性额窦炎组的出现率(分别为37.5%和70.3%)显著高于对照组(分别为12.5%和48.4%),差异均有统计学意义(均P0.01);其他类型气房在两组中的出现率差异无统计学意义。Logistic回归分析显示Ⅲ型额气房(OR=3.740,P=0.005)、眶上筛房(OR=2.242,P=0.031)与慢性额窦炎相关。结论:Ⅲ型额气房、眶上筛房可能是导致额窦引流通道狭窄的关键解剖因素,与慢性额窦炎密切相关。
[Abstract]:Objective: to analyze the correlation between frontal recess gas chamber and chronic frontal sinusitis. Methods: Ct images of paranasal sinuses of 69 cases (37 cases of chronic frontal sinusitis group and 32 cases of control group) were collected, and axial and coronal images were performed on the image workstation. Sagittal reconstruction was performed to obtain frontal recess images (slice thickness 0.6 mm, interval 0.4 mm). According to CT classification criteria of frontal recess of Lee et al, the distribution types of frontal recess in chronic frontal sinusitis group and control group were observed by using image analysis software. The correlation between frontal recess gas chamber and chronic frontal sinusitis was analyzed by Logistic regression analysis. Results: three dimensional images of frontal recess region were obtained in each group, 64 sides in each group. The occurrences of supraorbital ethmoid chamber in chronic frontal sinusitis group (37.5% and 70.3 respectively) were significantly higher than those in control group (12.5% and 48.4, respectively) (P < 0.01), but there was no significant difference in other types of gas chamber in the two groups. The logistic regression analysis showed that the type 鈪，

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